Maribel G Zavala
Dental Assistant
10209 Se Sunnyside Rd
Clackamas
, Oregon 97015-9782
Maribel G Zavala
Dental Assistant
10209 Se Sunnyside Rd
Clackamas
, Oregon 97015-9782
(503) 722-7571
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Maribel G Zavala
- 250 W Jersey St
- Gladstone, OR
- Zip : 97027-1911
- Phone : (503) 722-7571
Second Address
- Maribel G Zavala
- 10209 Se Sunnyside Rd
- Clackamas, OR
- Zip : 97015-9782
- Phone : (503) 353-3900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 113062 | OR |
National Provider Identifier
| NPI | 1073668430 |
|---|---|
| Provider Name | Maribel G Zavala |
| First Address | Gladstone, OR 97027-1911 |
| Second Address | Clackamas, OR 97015-9782 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2007 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 834 | (02) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.