Individual
DR. FARZAD PIRAYESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
7836 NE SANDY BLVD., PORTLAND, OR 97213
(503) 288-3107
Mailing address
1635 N WILLAMETTE BLVD., PORTLAND, OR 97217-3758
(503) 285-6545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6969
OR
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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