Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant | A8316 | OR |
NPI | 1013066943 |
---|---|
Provider Name | Susan Marie Adams |
First Address | Portland, OR 97206-9146 |
Second Address | Portland, OR 97202-4445 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 08/07/2007 |