AUDREY LOUISE DEVAN

PORTLAND, OR
NPI1457179921
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy126800000X Dental Assistant
(Licence: WA  D160914067)
Enumeration Date2024-10-02
Last Update Date2024-10-02
Business Address
AUDREY LOUISE DEVAN
12750 SE STARK ST BLDG E
PORTLAND, OR 97233-1539
Phone number: 971-347-3009
Mailing Address
AUDREY LOUISE DEVAN
12750 SE STARK ST BLDG E
PORTLAND, OR 97233-1539
Phone number: 971-347-3009