Individual
SHAMIM SHAYEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDH, EPDH
Contact information
Practice address
17189 SW JEAN LOUISE RD, SHERWOOD, OR 97140-9244
(971) 762-7629
Mailing address
17189 SW JEAN LOUISE RD, SHERWOOD, OR 97140-9244
(971) 762-7629
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H8971
OR
Other
Enumeration date
07/09/2025
Last updated
08/18/2025
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