Rassouli, Nader M
Rassouli, Nader M is an sole proprietor health care provider with primary practice located at 5440 Sw Westgate Dr Suite 360, Portland OR 97221-2420. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Rassouli, Nader M can be contacted via phone (503) 297-4400.Contact Information
Primary practice address
5440 Sw Westgate Dr Suite 360
Portland OR 97221-2420
Phone: (503) 297-4400
Fax: (503) 297-0684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | D6832 | Oregon |
Profile Details
| NPI number | 1598755647 |
|---|---|
| LBN Legal business name | Rassouli, Nader M |
| Credentials | BS DDS MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 28th, 2005 |
| Last updated | Feb 23rd, 2016 - about 10 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 | 1598755647 | NPPES |
| Oregon | Other | D6832 | DENTAL LICENSE |
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