Raeesah Taher, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D12046 Issued in OR

Practice address

730 SE Oak St Ste a&B
Hillsboro, OR 97123-4245

Phone

(503) 352-2354

NPI assigned

Aug 16, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1124850268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4734 NW 138TH PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972292460",
            "telephone_number": "971-295-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SE OAK ST STE A&B",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234245",
            "telephone_number": "503-352-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHER",
        "first_name": "RAEESAH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D12046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elena Talea, OD
• Alice Tam, PHARM.D.

• Dentist in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.