| NPI | 1851353296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEIDA KHARRAZI Owner/Practitioner 503-626-7323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D7585) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2008-07-24 |