Individual
DR. MARIAM ALEXES HAMIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
322 SE 192ND AVE STE 100, VANCOUVER, WA 98683-9679
(360) 262-4504
Mailing address
2193 NE 3RD AVE, CAMAS, WA 98607-1707
(307) 509-9735
(800) 952-8830
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
D10787
OR
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D9281
CO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE00009207
WA
Other
Enumeration date
01/19/2006
Last updated
12/22/2021
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