Individual
MRS. PATRICE M FOOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005
(503) 626-4148
Mailing address
11610 NW ROCK CRK RD, PORTLAND, OR 97231
(503) 645-0204
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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