NPI 1013066943

Susan Marie Adams, EFDACDA

Practitioner Dental Assistant Portland, OR

Practice location

Address: 5025 SE 28th Ave, Portland, OR 97202-4445
Phone: (503) 238-4418
Mailing address: 4840 SE Malden Dr, Portland, OR 97206-9146

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence A8316 (OR)

Other Dental Assistant providers in Oregon →

Registry record

NPI: 1013066943
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jan 2007
Record last updated: 8 Jul 2007

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.