Individual
ALEJANDRO RICARDO CARRION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2730 SW MOODY AVE, PORTLAND, OR 97201-5042
(503) 494-8867
Mailing address
PO BOX 1381, 15361 SE BLUFF ROAD, SANDY, OR 97055-1381
(503) 310-0489
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5944
OR
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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