Individual
MRS. DEBORAH KAY GLIDDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 626-4148
Mailing address
5905 SW TEXAS ST, PORTLAND, OR 97219-1261
(503) 245-4707
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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