A. Farid Bolouri DMD, PC
Organization Active NPI General Practice Dentistry · Milwaukie, OR
NPI 1558078600 · NPPES record last updated Oct 28, 2022
Key facts
- NPI
- 1558078600
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- A. FARID BOLOURI DMD, PC
- Practice address
- 11080 SE Oak St
Milwaukie, OR 97222-6692 - Phone
- (503) 654-0613
- NPI assigned
- Oct 28, 2022
- Organization subpart
- No
Authorized official
- Name
- Irma Starr
- Title
- Office Manager
- Phone
- (503) 654-0613
National Provider Directory
Locations
11080 SE Oak St
Portland, OR 97222
Phone (503) 228-1945
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
11080 SE Oak St
Milwaukie, OR 97222-6692
Mailing address
11080 SE Oak St
Milwaukie, OR 97222-6692
Phone (503) 654-0613
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- Aaron Altman Therapy LLC
- ABA of Portland Corp.
- Samantha Jay Abbott
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- Diane Carol Abel
All providers in Milwaukie, OR · General Practice Dentistry in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.