Individual
MRS. DORI CHRISTINE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
5232 SW FLORIDA ST, PORTLAND, OR 97219-1371
(208) 819-7144
Mailing address
5232 SW FLORIDA ST, PORTLAND, OR 97219-1371
(208) 819-7144
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H3884
OR
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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