Individual
MRS. FOUZIA BASHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
13255 SE STARK ST, PORTLAND, OR 97233-1548
(503) 255-1901
Mailing address
13255 SE STARK ST, PORTLAND, OR 97233-1548
(503) 255-1901
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6430
OR
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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