Individual
DR. RAJI MATHEW SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
510 NE 8TH ST, MCMINNVILLE, OR 97128-3910
(503) 472-3147
Mailing address
19553 SW BOULDER LN, BEAVERTON, OR 97007-8903
(503) 860-0809
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8431
OR
Other
Enumeration date
03/20/2007
Last updated
09/15/2021
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