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Active NPI 1083963243 Organization (Entity Type 2)

Sam El-Ebrashi, Bds, Ms, Pc

Dentist - Prosthodontics • Portland, OR

About Sam El-Ebrashi, Bds, Ms, Pc NPI 1083963243 Summary

Sam El-Ebrashi, Bds, Ms, Pc is a verified healthcare organization specializing in Dentist - Prosthodontics operating in Portland, OR. Located at 2075 SW FIRST AVE, STE. 2M, this facility provides patient care and medical services under National Provider Identifier (NPI) 1083963243.

Administrative operations and authorized compliance are overseen by Sameh El-Ebrashi (Owner).

The facility is associated with 3 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

2075 Sw First Ave
Ste. 2m

Portland, OR 972015314

Telephone 5032266659
Fax 5032269523

Authorized Official Information

Authorized Contact Name

DR. Sameh El-Ebrashi , BDS, MS

Title / Role

Owner

Official Telephone

5032266659

Facility Classifications & Specialties

Dentist - Prosthodontics Primary Taxonomy

NUCC Taxonomy Code: 1223P0700X

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

3 Linked

Dentist - General Practice

Portland, OR

View Practitioner Profile →
Junlan Cai , LAC NPI 1457503955

Acupuncturist

Portland, OR

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active September 04, 2012

NPI status registered as active in NPPES database

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Updated Practice Location September 04, 2012

Registered at 2075 SW FIRST AVE, STE. 2M, PORTLAND, OR 972015314 (Tel: 5032266659)

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Updated Business Mailing Address September 04, 2012

Registered at 2075 SW FIRST AVE, STE. 2M, PORTLAND, OR 972015314 (Tel: 5032266659)

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Organization / Clinic Name Updated September 04, 2012

Operating as SAM EL-EBRASHI, BDS, MS, PC

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2012

Dentist (License #D4764 in OR)

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Initial NPI Registration & Enumeration September 04, 2012

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1083963243
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: September 04, 2012
Last Update: September 04, 2012

Mailing Address

2075 Sw First Ave, Ste. 2m

Portland, OR 972015314

Phone: 5032266659

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.