Individual
MARIA SILVA MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
115 NE MAY LANE, MCMINNVILLE, OR 97128
(503) 472-1338
Mailing address
247 SE 160TH AVE APT A 102, PORTLAND, OR 97233
(971) 344-8130
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11863
OR
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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