Individual
DR. MICHAEL BADAOUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2730 S MOODY AVE, PORTLAND, OR 97201-5042
(503) 494-8867
Mailing address
325 BROOKLINE ST, NEWTON, MA 02459-3151
(781) 492-6592
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12172
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/29/2024
Last updated
06/13/2025
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