Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant | 120953 | OR |
NPI | 1285281691 |
---|---|
Provider Name | Sante L Van Meter |
First Address | Portland, OR 97205-1715 |
Second Address | Portland, OR 97233-1539 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2019 |
Last Update Date | 20/11/2019 |