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Contact Information

MONICA D BODO, EFDA
7105 SW HAMPTON ST
TIGARD, OR97223-8314
 Phone: 503-684-9274
 Fax: 503-624-9610
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Assistant

126800000X
Indicates primary specialty

NPI Profile & details for MONICA D BODO · (Female)

NPI # 1831447366
Status Active
Credentials EFDA
Entity Individual
Enumeration date 08/15/2012
Last updated 08/15/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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