Individual
DR. SHEEVA AZIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
9225 SW HALL BLVD STE E, TIGARD, OR 97223-6794
(503) 620-7134
(503) 620-7184
Mailing address
9225 SW HALL BLVD STE E, TIGARD, OR 97223-6794
(503) 620-7134
(503) 620-7184
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9643
OR
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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