Individual
VERA KRASNOGOROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14128 SE SUNSHADOW ST, HAPPY VALLEY, OR 97086-6582
(503) 805-6597
Mailing address
14128 SE SUNSHADOW ST, HAPPY VALLEY, OR 97086-6582
(503) 805-6597
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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