IndividualActive
Ahmadreza Alidousti, DMD
NPI 1194569566 · General Practice Dentistry · Hillsboro, OR
Provider details
- NPI number
- 1194569566
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- D12011 (OR)
Specialties & taxonomies
Dental Providers
Practice location
7206 Ne Cornell Rd
Hillsboro, OR 97124-5430
Phone: (503) 640-9999
Approximate (ZIP-level) locationGet directions
Mailing address
7206 Ne Cornell Rd
Hillsboro, OR 97124-5430
Registry dates
- Enumerated
- 2024-06-21
- Last updated
- 2024-06-21
- Certified
- 2024-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.