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1295464584
AMY CHAN
PORTLAND, OR
NPI
1295464584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H8108)
Enumeration Date
2022-06-10
Last Update Date
2022-06-10
Business Address
AMY CHAN
1314 NE GRAND AVE
PORTLAND, OR 97232-1127
Phone number: 503-286-6868
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Mailing Address
AMY CHAN
13689 SE SCENIC RIDGE DR
CLACKAMAS, OR 97015-7537
Phone number: 503-998-0368
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