Enayati, Mehran
Enayati, Mehran is an sole proprietor health care provider with primary practice located at 15280 Nw Central Dr Suite 201, Portland OR 97229-7805. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Enayati, Mehran can be contacted via phone (503) 533-8240.Contact Information
Primary practice address
15280 Nw Central Dr Suite 201
Portland OR 97229-7805
Phone: (503) 533-8240
Fax: (503) 533-8320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | D7039 | Oregon |
Profile Details
| NPI number | 1083749907 |
|---|---|
| LBN Legal business name | Enayati, Mehran |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083749907 | NPPES |
| Oregon | Other | D7039 | DENTAL LICENSE NUMBER |
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