Most Relevant Information
Provider Data
| NPI Number: | 1003368028 |
| Provider Name: | MICHELLE R LAWRENCE DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 7029 |
Most Important Dates
| Enumeration Date: | 10/25/2016 |
| Last Updated: | 10/25/2016 |
Provider Practice Location
3671 SW RIVER PKWY
PORTLAND
OR
972394552
Practice Location Phone/Fax
| Phone: | 5038415658 |
| Fax: | 5033842953 |
Provider Mailing Location
3671 SW RIVER PKWY
PORTLAND
OR
972394552
Provider Mailing Phone/Fax
| Phone: | 5038415658 |
| Fax: | 5033842953 |