Individual
SIERRA BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5025 SE 28TH AVE, PORTLAND, OR 97202-4445
(503) 238-4418
Mailing address
6730 SW GRIFFIN DR, PORTLAND, OR 97223-7579
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6617
OR
Other
Enumeration date
11/17/2013
Last updated
12/29/2021
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