Individual
REEYA SHRESTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12266 SW SCHOLLS FERRY RD, TIGARD, OR 97223-3354
(503) 455-8483
Mailing address
134 NW NATIVE RUN LOOP, GRANTS PASS, OR 97526-1705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11985
OR
122300000X
Dentist
RR61427963
WA
Other
Enumeration date
07/05/2023
Last updated
06/08/2024
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