Individual
HASANAIN AL-HUMAIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
10535 NE GLISAN ST, PORTLAND, OR 97220-4077
(503) 444-2824
Mailing address
6520 SW SEYMOUR ST, PORTLAND, OR 97225-1947
(503) 883-3885
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6763
OR
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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