NPI 1215387402

Fabiana Garcia, RDH

Practitioner Preferred Provider Organization Portland, OR

Practice location

Address: 18139 NE Couch St, Portland, OR 97230-7281
Phone: (503) 489-1760

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 124Q00000X (OR)

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Registry record

NPI: 1215387402
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jun 2016
Record last updated: 17 Jun 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.