Soroush Amali
Soroush Amali is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Works from 2 locations. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
Portland, ORNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 2730 Sw Moody Ave, Portland, OR 97201-5042 — (503) 544-7573
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D10530 (OR) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1861846578 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 19, 2016 |
| Last updated in NPPES | November 2, 2020 |
| Certification date | November 2, 2020 |
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