Individual
DR. NADER M RASSOULI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS DDS MS
Contact information
Practice address
5440 SW WESTGATE DR, SUITE 360, PORTLAND, OR 97221-2420
(503) 297-4400
(503) 297-0684
Mailing address
5440 SW WESTGATE DR, SUITE 360, PORTLAND, OR 97221-2420
(503) 297-4400
(503) 297-0684
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
D6832
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D6832
DENTAL LICENSE
OR
Enumeration date
10/28/2005
Last updated
02/23/2016
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