Individual
MADALENA THUY-LAN MAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 NW BURNSIDE RD, GRESHAM, OR 97030-3852
(503) 286-6868
Mailing address
15406 NE ANDRA PL, PORTLAND, OR 97230-4426
(503) 408-8927
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4181
OR
Other
Enumeration date
01/18/2018
Last updated
12/17/2021
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