THERESA E MADDEN

PORTLAND, OR
NPI1346327905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: OR  D6849)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
-- THERESA E MADDEN DDS
611 SW CAMPUS DR ROOM 19
PORTLAND, OR 97239-3001
Phone number: 503-494-4316
Mailing Address
-- THERESA E MADDEN DDS
0220 SW TEXAS ST
PORTLAND, OR 97219-2342
Phone number: 503-638-0623