Individual
DR. HANA SAFIC WALKUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1001 SW 5TH AVE, SUITE 222, PORTLAND, OR 97204-1147
(503) 222-5355
Mailing address
1500 SW 11TH AVE UNIT 707, PORTLAND, OR 97201-3538
(503) 201-5562
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8814
OR
Other
Enumeration date
11/21/2006
Last updated
08/06/2010
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