Dr. Mehran Enayati
Prosthodontist
15280 Nw Central Dr Suite 201
Portland
, Oregon 97229-7805
Dr. Mehran Enayati
Prosthodontist
15280 Nw Central Dr Suite 201
Portland
, Oregon 97229-7805
(503) 533-8320
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Mehran Enayati
- 15280 Nw Central Dr Suite 201
- Portland, OR
- Zip : 97229-7805
- Fax : (503) 533-8320
- Phone : (503) 533-8240
Second Address
- Dr. Mehran Enayati
- 15280 Nw Central Dr Suite 201
- Portland, OR
- Zip : 97229-7805
- Fax : (503) 533-8320
- Phone : (503) 533-8240
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | D7039 | OR |
National Provider Identifier
| NPI | 1083749907 |
|---|---|
| Provider Name | Dr. Mehran Enayati |
| First Address | Portland, OR 97229-7805 |
| Second Address | Portland, OR 97229-7805 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/02/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D7039 | DENTAL LICENSE NUMBER (01) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.