Individual
YURIYA MANABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3400 SW 187TH AVENUE, SUITE 1, ALOHA, OR 97006-3131
(503) 649-2166
Mailing address
3400 SW 187TH AVENUE, SUITE 1, ALOHA, OR 97006-3131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6429
OR
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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