Individual
MARWA ALY ABDELHAMID ABDELRAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, MSD
Contact information
Practice address
1789 NW 173RD AVE, BEAVERTON, OR 97006-4817
(503) 614-1177
Mailing address
15144 NW COSMOS ST, PORTLAND, OR 97229-7058
(502) 408-9744
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30.026292
OH
1223P0221X
Pediatric Dentistry
30.026292
OH
1223P0221X
Pediatric Dentistry
Primary
D11695
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2018
Last updated
02/11/2023
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