NPI 1619657913 · live from the CMS NPI Registry
Jasmine Elaine Ahrar, DMD
Dentist, General Practice in Beaverton, OR. National Provider Identifier 1619657913, active.
NPI record
| NPI | 1619657913 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 8070 Sw Hall Blvd Ste 200, Beaverton, OR 97008 |
| Practice phone | 503-644-1110 |
| Mailing address | 2050 Nw Raleigh St Apt 262, Portland, OR 97209 |
| Enumerated | July 20, 2023 |
| Last updated | July 20, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | D11806 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.