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Contact Information

BABER N KHATIB, MD, DDS
1849 NW KEARNEY ST STE 300
PORTLAND, OR97209-1453
 Phone: 503-224-1371
 Fax: 503-224-0722
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for BABER N KHATIB · (Male)

NPI Number 1356662845
Status Active
Credentials MD, DDS
Entity Individual
Enumeration date 06/18/2010
Last updated 01/03/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OR License # D11193
  • OR License # MD196775
  • OR Other D11193 DENTAL LICENSE
  • OR Other MD196775 MEDICAL LICENSE
Hospital affiliation(s)
  • PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care)
    4805 NE GLISAN STREET
    PORTLAND, OR 97213
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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