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Mariam Mena, BDS,MSOFPOM
General Practice Dentistry in Portland, Oregon
NPI 1891386074

Mariam Mena is a General Practice Dentistry based in Portland, OR and is specialized in General Practice. Mariam Mena practices in Portland, OR and has the professional credentials of BDS,MSOFPOM. The NPI Number for Mariam Mena is 1891386074 and holds a License No. 61069699 (Oregon).

The current practice location address for Mariam Mena is 618 Se 141St Ave, Portland, OR and can be reached out via phone at 503-888-9538. You can also correspond with Mariam Mena through the mailing address at 618 SE 141ST AVE, PORTLAND, OR - 97233-2208 (mailing address contact number: 503-888-9538).

Location: 618 Se 141St Ave, Portland, OR, 97233-2208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891386074
Provider Name
Mariam Mena
Credential
BDS,MSOFPOM
Provider Entity Type
Individual
Gender
Female
Address
618 Se 141St Ave, Portland, OR, 97233-2208
Phone Number
503-888-9538
Fax Number
Provider Enumeration Date
01/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
618 Se 141St Ave
City
Portland
State
Oregon
Zip
97233-2208
Phone Number
503-888-9538
Fax Number
person
Provider Business Mailing Address Details
Address
618 Se 141St Ave
City
Portland
State
Oregon
Zip
97233-2208
Phone Number
503-888-9538
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
61069699 (Washington)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Orofacial Pain
Taxonomy
1223X2210X
License No.
61069699 (Washington)
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
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