Mariam Mena, BDS, MSOFPOM
Mariam Mena, BDS, MSOFPOM is an Orofacial Pain Dentistry in Portland, Oregon. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
618 SE 141st AvePortland, OR 97233-2208
Phone: (503) 888-9538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 61069699 (WA) |
|---|---|
| Orofacial Pain Dentistry | Taxonomy 1223X2210X · Licence 61069699 (WA) |
Record details
| NPI number | 1891386074 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | BDS , MSOFPOM |
| Sole proprietor | Yes |
| NPI enumerated | January 29, 2021 |
| Last updated in NPPES | January 29, 2021 |
| Certification date | January 29, 2021 |
| Mailing address | 618 Se 141st Ave, Portland, OR 97233-2208 |
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