Individual
RAJAT JAIPRAKASH RATHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS, MS
Contact information
Practice address
12750 SW 68TH AVE, PORTLAND, OR 97223-8596
(503) 620-6797
Mailing address
305 W 12TH AVE FL 2, COLUMBUS, OH 43210-1267
(614) 688-3763
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
RES.004495
OH
Other
Enumeration date
06/23/2025
Last updated
08/26/2025
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