Individual
MRS. STEPHANIE MARIE SHOOBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4104 SE 82ND AVE, SUITE 450, PORTLAND, OR 97266-2954
(503) 771-4324
Mailing address
7334 SE 63RD AVE, PORTLAND, OR 97206
(503) 788-2524
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5331
OR
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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