Individual
TEMBRE ELIZA DELONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
912 MAIN ST, OREGON CITY, OR 97045-1819
(503) 635-3948
Mailing address
4134 NE 80TH AVE, PORTLAND, OR 97218-4210
(360) 241-9044
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D11443
OR
Other
Enumeration date
06/15/2020
Last updated
10/11/2024
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