NPI 1023790920 · live from the CMS NPI Registry
Soroush Tom Amini, DMD
Dentist in Woodburn, OR. National Provider Identifier 1023790920, active.
NPI record
| NPI | 1023790920 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 1175 Mount Hood Ave, Woodburn, OR 97071 |
| Practice phone | 503-982-2000 |
| Enumerated | August 1, 2023 |
| Last updated | August 9, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | D11873 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.