Dr. Audrey Michelle Mikkelson, DMD, MSD - Portland, OR

Dr. Audrey Michelle Mikkelson, DMD,MSD

Pediatric Dentist in Portland, Oregon

NPI 1912394578

Audrey Michelle Mikkelson is a Pediatric Dentist based in Portland, OR and is specialized in Pediatric Dentistry. Audrey Michelle Mikkelson practices in Portland, OR and has the professional credentials of DMD,MSD. The NPI Number for Audrey Michelle Mikkelson is 1912394578 and holds a License No. DE61168847 (Oregon).

The current practice location address for Audrey Michelle Mikkelson is 5415 Sw Westgate Dr Ste 207, Portland, OR and can be reached out via phone at 503-292-9274.

Location: 5415 Sw Westgate Dr Ste 207, Portland, OR, 97221-2429

NPI Number

1912394578

Provider Name

Audrey Michelle Mikkelson

Credential

DMD,MSD

Provider Entity Type

Individual

Gender

Female

Address

5415 Sw Westgate Dr Ste 207, Portland, OR, 97221-2429

Phone Number

503-292-9274

Fax Number

Provider Enumeration Date

04/22/2015

Last Update Date

11/16/2024

Address

5415 Sw Westgate Dr Ste 207

City

Portland

State

Oregon

Zip

97221-2429

Phone Number

503-292-9274

Fax Number

Address

5415 Sw Westgate Dr Ste 207

City

Portland

State

Oregon

Zip

97221-2429

Phone Number

503-292-9274

Fax Number

Type

Dental Providers

Classification

Dentist

Speciality

Pediatric Dentistry

Taxonomy

1223P0221X

License No.

DE61168847 (Washington)

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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