Individual
PARISA ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2460 WILLAMETTE ST, EUGENE, OR 97405-3169
(541) 463-5206
Mailing address
4000 E 30TH AVE, EUGENE, OR 97405-0640
(541) 463-5206
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10270
OR
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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