| Sam El-ebrashi, Bds, Ms, Pc | |
|
2075 Sw First Ave Ste. 2m Portland OR 97201-5314 | |
| (503) 226-6659 | |
| (503) 226-9523 |
| Full Name | Sam El-ebrashi, Bds, Ms, Pc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 2075 Sw First Ave, Portland, Oregon |
| Authorized Official Name and Position | Sameh K El-ebrashi (OWNER) |
| Authorized Official Contact | 5032266659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sam El-ebrashi, Bds, Ms, Pc 2075 Sw First Ave Ste. 2m Portland OR 97201-5314 Ph: (503) 226-6659 | Sam El-ebrashi, Bds, Ms, Pc 2075 Sw First Ave Ste. 2m Portland OR 97201-5314 Ph: (503) 226-6659 |
| NPI Number | 1083963243 |
|---|---|
| Provider Enumeration Date | 09/04/2012 |
| Last Update Date | 09/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083963243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D4764 (Oregon) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | D8650 (Oregon) | Primary |
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