Individual
AUSTIN RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17715 SW ROBERT LN, BEAVERTON, OR 97007-1890
(503) 407-0634
Mailing address
17715 SW ROBERT LN, BEAVERTON, OR 97007
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
117924
OR
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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