Individual
DR. REZA J SHARIFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2790 NW 188TH AVE, HILLSBORO, OR 97124-7447
(503) 844-0700
Mailing address
2790 NW 188TH AVE, HILLSBORO, OR 97124-7447
(503) 844-0700
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D9206
OR
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DE60717245
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
UPIN
—
Enumeration date
08/27/2008
Last updated
05/02/2017
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