| Dr Reza Heshmati, DDS | |
|
3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | |
| (503) 494-8916 | |
| (503) 494-6783 |
| Full Name | Dr Reza Heshmati |
|---|---|
| Gender | Male |
| Speciality | Dentist - Prosthodontics |
| Location | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508929753 | NPI | - | NPPES |
| 2276504 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | D12059 (Oregon) | Primary |
| Entity Name | Ohio State Dental Faculty Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164537684 PECOS PAC ID: 5496788630 Enrollment ID: O20050916000944 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Reza Heshmati, DDS 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-8916 | Dr Reza Heshmati, DDS 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-8916 |
Esther Jihae Lee, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5308 Se 52nd Ave, Portland, OR 97206 Phone: 503-775-4000 | |
Dr. Elizabeth Freda Schuler, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 202 Ne 181st Ave Ste C, Portland, OR 97230 Phone: 503-912-0443 | |
Dr. Octavia S Lively, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Vetrn Hosp Rd, Portland, OR 97239 Phone: 503-220-8262 | |
Michelle R Lawrence, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3671 Sw River Pkwy, Portland, OR 97239 Phone: 503-841-5658 Fax: 503-384-2953 | |
Albert Vinh Khiem Ngo, Dentist Medicare: Medicare Enrolled Practice Location: 4104 Se 82nd Ave Ste 450, Portland, OR 97266 Phone: 562-852-3113 | |
Dr. Esha Mukherjee, MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2730 S Moody Ave, Portland, OR 97201 Phone: 502-531-3763 | |
Kayla Ellis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1710 Ne 122nd Ave, Portland, OR 97230 Phone: 503-295-2120 |