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Contact Information

RICHIE KOHLI
3030 SW MOODY AVE
PORTLAND, OR97201-4869
 Phone: 503-494-3067
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for RICHIE KOHLI · (Female)

NPI # 1558762401
Status Active
Credentials
Entity Individual
Enumeration date 09/10/2014
Last updated 09/10/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • OR License # D10062
  • TX License # 29399
Hospital affiliation(s) Not Available
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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