Individual
DR. NOOR A KHAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
19029 S. BEAVERCREEK RD, OREGON CITY, OR 97045
(503) 941-3064
Mailing address
7600 SE DIVISION ST, PORTLAND, OR 97206-1058
(503) 774-3033
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10079
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500690740
—
OR
Enumeration date
09/14/2014
Last updated
09/17/2019
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