Individual
ROSILYN RICARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(506) 626-4148
Mailing address
4850 SW LARCH DR, BEAVERTON, OR 97005-3408
(971) 563-2638
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
118650
OR
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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