IndividualActive
Elizabeth Carrillo-Avalos
NPI 1841941879 · Dental Assistant · Clackamas, OR
Provider details
- NPI number
- 1841941879
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 122631 (OR)
Specialties & taxonomies
Dental Providers
Practice location
10209 Se Sunnyside Rd
Clackamas, OR 97015-9782
Phone: (800) 813-2000
Approximate (ZIP-level) locationGet directions
Mailing address
10209 Se Sunnyside Rd
Clackamas, OR 97015-9782
Registry dates
- Enumerated
- 2022-01-11
- Last updated
- 2022-01-11
- Certified
- 2022-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.