Individual
MARILYN RENEE CLULOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, EPDH
Contact information
Practice address
6332 NE 36TH AVE, PORTLAND, OR 97211-7232
(503) 348-9491
Mailing address
6332 NE 36TH AVE, PORTLAND, OR 97211-7232
(503) 348-9491
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4948
OR
Other
Enumeration date
09/07/2015
Last updated
09/07/2015
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