Individual
DR. MARYAM M MOTLAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD PC
Contact information
Practice address
13765 NW CORNELL RD, SUITE 100, PORTLAND, OR 97229-5300
(503) 643-9855
(503) 626-7154
Mailing address
13765 NW CORNELL RD, SUITE 100, PORTLAND, OR 97229-5300
(503) 643-9855
(503) 626-7154
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7499
OR
Other
Enumeration date
12/22/2005
Last updated
11/20/2020
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