Individual
ANNA SERVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFODA
Contact information
Practice address
1900 SE MCLOUGHLIN BLVD, SUITE 68, OREGON CITY, OR 97045
(503) 387-8000
Mailing address
11675 SE 64TH AVE, MILWAUKIE, OR 97222-2871
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
115718
OR
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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