Individual
MRS. WANESSA CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA DENTAL ASST
Contact information
Practice address
5319 NE KILLINGSWORTH ST, PORTLAND, OR 97218-2400
(503) 245-0304
Mailing address
5319 NE KILLINGSWORTH ST, PORTLAND, OR 97218-2400
(503) 245-0304
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
OR
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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