Individual
MS. LORI ANN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
10102 NE GLISAN ST, PORTLAND, OR 97220-4456
(503) 225-7595
Mailing address
5807 RIDGETOP CT, LAKE OSWEGO, OR 97035-5712
(503) 620-8278
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1200
OR
Other
Enumeration date
08/01/2006
Last updated
03/29/2010
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