NPI 1053891051 · live from the CMS NPI Registry
Waleed Almulla, DMD
Dentist in Portland, OR. National Provider Identifier 1053891051, active.
NPI record
| NPI | 1053891051 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 8401 Ne Halsey St Ste 102, Portland, OR 97220 |
| Practice phone | 503-234-9911 |
| Mailing address | 2557 Southshore Blvd, Lake Oswego, OR 97034 |
| Enumerated | August 19, 2018 |
| Last updated | August 19, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | D10893 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.