Individual
DR. MARTHA S BIBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
833 SW 11TH AVE, SUITE 700, PORTLAND, OR 97205
(503) 222-9222
(503) 222-9870
Mailing address
833 SW 11TH AVE, SUITE 700, PORTLAND, OR 97205
(503) 222-9222
(503) 222-9870
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6153
OR
Other
Enumeration date
12/13/2006
Last updated
08/16/2007
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