NPI 1003368028

Michelle R Lawrence, DMD

Practitioner General Practice Dentistry Portland, OR

Practice location

Address: 3671 SW River Pkwy, Portland, OR 97239-4552
Phone: (503) 841-5658
Fax: (503) 384-2953

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 7029 (OR)

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Registry record

NPI: 1003368028
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Oct 2016
Record last updated: 25 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.