MARINA V POLIASHOV

PORTLAND, OR
NPI1942559596
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H7006)
Additional Taxonomies126800000X Dental Assistant
(Licence: OR  117669)
Enumeration Date2012-08-29
Last Update Date2018-05-15
Business Address
MARINA V POLIASHOV RDH
10102 NE GLISAN ST
PORTLAND, OR 97220
Phone number: 503-238-4418
Mailing Address
MARINA V POLIASHOV RDH
16038 SE NEHALEM ST
PORTLAND, OR 97236-5387
Phone number: 503-473-7778