Individual
MR. ALERIZA J SHAMSIPOUR-AZBARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7325 SW BARNES RD, BARNES DENTAL LLC, PORTLAND, OR 97225-6119
(503) 297-8866
(503) 384-9366
Mailing address
7325 SW BARNES RD, BARNES DENTAL LLC, PORTLAND, OR 97225-6119
(503) 297-8866
(503) 384-9366
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7513
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158908
—
OR
Enumeration date
08/09/2006
Last updated
07/08/2007
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