Individual
VIENGCHITH CHRISTOPHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
9201 SE 91ST AVE, HAPPY VALLEY, OR 97086-3760
(503) 253-1344
Mailing address
5342 SE 140TH AVE, PORTLAND, OR 97236-3865
(503) 975-3850
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4990
OR
Other
Enumeration date
08/03/2014
Last updated
08/03/2014
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