Individual
IBETH MORALES-ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5738 SE 120TH AVE, PORTLAND, OR 97266-3956
(503) 348-0727
Mailing address
5738 SE 120TH AVE, PORTLAND, OR 97266-3956
(503) 348-0727
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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