Individual
DR. ASHISH A PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DDS,FACS
Contact information
Practice address
1849 NW KEARNEY ST, SUITE 300, PORTLAND, OR 97209
(503) 224-1371
Mailing address
1849 NW KEARNEY ST, SUITE 300, PORTLAND, OR 97209-1453
(503) 224-1371
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
D10370
OR
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
MD161538
OR
Other
Enumeration date
06/20/2007
Last updated
10/02/2020
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