Active NPI
Soze Jabbary, BSDH, RDH, EPDH
- Dental Hygienist
- Hillsboro, OR
National Provider Identifier
1295493971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H8180
- Practice address
- 10690 NE Cornell Rd Ste 220
Hillsboro, OR 97124-9224 - Phone
- (503) 848-5861
- NPI assigned
- Nov 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H8180 | OR | Primary |
Addresses
Primary practice location
10690 NE Cornell Rd Ste 220
Hillsboro, OR 97124-9224
Mailing address
7320 SW Hunziker Rd Ste 300
Portland, OR 97223-2302
Phone (503) 941-3033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H8180 | OR | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1295493971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7320 SW HUNZIKER RD STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972232302",
"telephone_number": "503-941-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10690 NE CORNELL RD STE 220",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971249224",
"telephone_number": "503-848-5861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABBARY",
"first_name": "SOZE",
"credential": "BSDH, RDH, EPDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-30",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H8180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.