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Azita Zadeh, PTDA — NPI 1144231879, Portland, OR | NPI Central

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NPI 1144231879

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Azita Zadeh, PTDA

NPI 1144231879 · Dental Assistant · Portland, OR

Provider details

NPI number: 1144231879
Entity type: Individual
Primary specialty: Dental AssistantDental Providers
Credential: PTDA
Sex: Female
Sole proprietor: Yes
License: 114606 (OR)

Specialties & taxonomies

Dental AssistantPrimary126800000XLicense 114606 (OR)
Dental Providers

Practice location

17803 Nw Deerfield Dr

Portland, OR 97229-1778

Phone: (503) 614-8579

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

17803 Nw Deerfield Dr

Portland, OR 97229-1778

Registry dates

Enumerated: 2006-08-10
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.