Individual
KASRA RAFIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
930 NW 14TH AVE, 220, PORTLAND, OR 97209
(503) 889-8632
(503) 223-1919
Mailing address
930 NW 14TH AVE, 220, PORTLAND, OR 97209
(503) 889-8632
(503) 223-1919
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7472
OR
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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