Anuprabha Shrivastava

NPI #1023625845 in Portland, Oregon

Provider Information

NPI Number: 1023625845
Entity Type: Individual
Name: Anuprabha Shrivastava
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 25, 2020
Last Updated: Dec 12, 2021

Practice Location

Address: 5175 NE MARTIN LUTHER KING JR BLVD STE 110
City: Portland
State: Oregon
ZIP Code: 97211-3233
Phone: (503) 406-1108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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