TERRY TAM

PORTLAND, OR
NPI1669014700
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H7704)
Enumeration Date2019-10-10
Last Update Date2019-10-10
Business Address
TERRY TAM
10535 NE GLISAN ST
PORTLAND, OR 97220-4077
Phone number: 503-444-2824
Mailing Address
TERRY TAM
10535 NE GLISAN ST
PORTLAND, OR 97220-4077
Phone number:
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