LISA Y ANDERSON

PORTLAND, OR
NPI1801349980
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D10511)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: OR  D10511)
Enumeration Date2016-07-26
Last Update Date2024-09-12
Business Address
LISA Y ANDERSON DMD
12750 SE STARK ST BLDG E
PORTLAND, OR 97233-1539
Phone number: 971-347-3009
Mailing Address
LISA Y ANDERSON DMD
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044