Individual
DR. O'SAMA SHAHADEH BETROUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12661 SE POWELL BLVD STE D, PORTLAND, OR 97236-3400
(503) 760-7983
Mailing address
12661 SE POWELL BLVD STE D, PORTLAND, OR 97236-3400
(503) 760-7983
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D6838
OR
1223G0001X
General Practice Dentistry
Primary
DN015356
GA
Other
Enumeration date
11/14/2008
Last updated
03/29/2017
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