Individual
MRS. CAROL MARIE SOMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
13056 SE DIVISION ST, PORTLAND, OR 97236-3039
(503) 760-1341
Mailing address
PO BOX 1225, 24405 E. MOWICH LN., WELCHES, OR 97067-1225
(503) 622-0858
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H2493
OR
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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