Individual
KYAHN DARAEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30040 SW BOONES FERRY RD STE 20, WILSONVILLE, OR 97070-8910
(503) 682-4500
Mailing address
5934 S CORBETT AVE, PORTLAND, OR 97239-3710
(971) 272-4898
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11493
OR
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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