IndividualActive
Mastaneh Pournaderi, D.D.S
NPI 1063729523 · Dentist · Portland, OR
Mastaneh Pournaderi, D.D.S is a Dentist provider in Portland, OR (NPI 1063729523).
Provider details
- NPI number
- 1063729523
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S
- Sex
- Female
- Sole proprietor
- No
- License
- D8516 (OR)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12710 Se Division St
Portland, OR 97236-3134
Phone: (503) 988-3410
Street-level locationGet directions
Mailing address
14820 Nw Tranquility Dr
Banks, OR 97106-8835
Registry dates
- Enumerated
- 2010-09-04
- Last updated
- 2010-09-04
Frequently asked questions
- What is Mastaneh Pournaderi's NPI number?
- Mastaneh Pournaderi's National Provider Identifier (NPI) is 1063729523, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mastaneh Pournaderi's specialty?
- Mastaneh Pournaderi is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Mastaneh Pournaderi located?
- Mastaneh Pournaderi's practice location on file with NPPES is 12710 Se Division St, Portland, OR 97236-3134.
- What is Mastaneh Pournaderi's phone number?
- The practice phone number listed in the NPPES registry for Mastaneh Pournaderi is (503) 988-3410.
- Is Mastaneh Pournaderi's NPI active?
- Yes — Mastaneh Pournaderi's NPI (1063729523) is active in the NPPES registry as of the last update on 2010-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.