Individual
MS. NOUSHIN SHAKIBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3580 SE 82ND AVE, PORTLAND, OR 97266-2902
(503) 777-0761
(503) 777-0393
Mailing address
3580 SE 82ND AVE, PORTLAND, OR 97266-2902
(503) 777-0761
(503) 777-0393
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8995
OR
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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