Fun, Kayvandokht

Fun, Kayvandokht is an sole proprietor health care provider with primary practice located at 19075 Nw Tanasbourne Dr Ste 300 , Hillsboro OR 97124-5860. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Fun, Kayvandokht can be contacted via phone (503) 531-1700.

Contact Information

Primary practice address
19075 Nw Tanasbourne Dr Ste 300 Hillsboro OR 97124-5860
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H2379 Oregon

Profile Details

NPI number 1477562296
LBN Legal business name Fun, Kayvandokht
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477562296 NPPES
Oregon Other 124Q00000X DENTAL HYGIENIST

Popular Providers