Organization
WILLAMETTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEIDA KHARRAZI DMD (DENTIST)
(503) 310-0923
Entity
Organization
Contact information
Practice address
1107 NE BURNSIDE RD, GRESHAM, OR 97030-5710
(503) 952-2167
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(503) 952-2167
(503) 952-2267
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7585
OR
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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