Individual
ELISA ILSE-FRANCES HERRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9475 SW WILSONVILLE RD, WILSONVILLE, OR 97070-7522
(503) 682-6984
Mailing address
2518 NE 163RD ST, RIDGEFIELD, WA 98642-7975
(269) 605-9408
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D12072
OR
Other
Enumeration date
02/10/2021
Last updated
01/03/2025
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