Individual
MEHRDAD HAIRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3030 SE MONROE ST, MILWAUKIE, OR 97222-6637
(503) 659-7676
Mailing address
3030 SE MONROE ST, MILWAUKIE, OR 97222-6637
(503) 659-7676
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10960
OR
Other
Enumeration date
04/03/2018
Last updated
02/02/2022
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