Felix Wiyanto Sim, MBBS, BDS

NPI #1104209386 in Portland, Oregon

Provider Information

NPI Number: 1104209386
Entity Type: Individual
Name: Felix Wiyanto Sim, MBBS, BDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Oral & Maxillofacial Surgery
Credential: MBBS, BDS
Enumeration Date: Jul 7, 2015
Last Updated: Jul 7, 2015

Practice Location

Address: 1015 NW 22ND AVE
City: Portland
State: Oregon
ZIP Code: 97210-3025
Phone: (503) 413-4656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Oral & Maxillofacial Surgery	204E00000X	Primary

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