Individual
HESSAM RIKHTEHGAR BERENJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
150 SE 3RD AVE, HILLSBORO, OR 97123-4019
(503) 213-1257
Mailing address
63140 BRITTA ST STE D104, BEND, OR 97703-5738
(629) 999-5014
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-TMP-10234898
OR
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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