Individual
MARIN BENFIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 NW BURNSIDE RD, GRESHAM, OR 97030-3852
(971) 285-7852
Mailing address
360 NW BURNSIDE RD, GRESHAM, OR 97030-3852
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
OR
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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