Individual
MS. PARISA SEPEHRI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
8930 SW HALL BLVD., STE 1, TIGARD, OR 97223
(503) 574-4000
(503) 626-6300
Mailing address
8930 SW HALL BLVD., STE 1, TIGARD, OR 97223
(503) 574-4000
(503) 626-6300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7153
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085360
—
OR
Enumeration date
07/18/2005
Last updated
07/08/2007
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