Individual
DR. HESAM MOSHARRAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3514 NE BROADWAY ST, PORTLAND, OR 97232-1821
(503) 616-4330
Mailing address
2028 NE THORNCROFT DR APT 1431, HILLSBORO, OR 97124-9041
(602) 505-3749
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11874
OR
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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