Willamette

Dentist · Gresham, OR

Organization Active NPI

NPI number 1649692450

Practice location

1107 NE Burnside Rd
Gresham, OR 97030-5710
Phone
(503) 952-2167

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NPI record

NPI
1649692450
Entity type
Organization (Type 2)
Enumeration date
January 13, 2014
Last updated
January 13, 2014
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 7585 OR

Mailing address

6950 NE Campus Way
Hillsboro, OR 97124-5611
Phone
(503) 952-2167
Fax
(503) 952-2267

Authorized official

Name
Dr. Sheida Kharrazi, DMD
Title
Dentist
Phone
(503) 310-0923

About Willamette

Willamette is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1107 NE Burnside Rd, Gresham, OR 97030-5710. The NPI number 1649692450 was assigned on January 13, 2014 and the record was last updated on January 13, 2014.

Willamette lists a license in the registry: #7585 (OR) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Sheida Kharrazi, DMD, Dentist.

Frequently asked questions

What is the NPI number of Willamette?

The NPI number is 1649692450.

What is the phone number of Willamette?

The phone number listed for the practice location is (503) 952-2167.

Where is Willamette located?

1107 NE Burnside Rd, Gresham, OR 97030-5710.

What is the taxonomy code for Willamette?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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