Individual
ADRIANA VALLE CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
822 NE 181ST AVE, PORTLAND, OR 97230-6708
(503) 661-5210
Mailing address
945 NW 3RD ST, GRESHAM, OR 97030-6905
(503) 669-1206
(503) 669-1206
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H1915
OR
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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