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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DAVID JACOB RAPHAEL, DDS

Active Sole Proprietor

DR. DAVID JACOB RAPHAEL, DDS is a Pediatric Dentistry healthcare provider located in PORTLAND, Oregon. NPI 1104142900 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · PORTLAND, OR

Registration Details

NPI Number
1104142900
Provider Type
Individual
Gender
Male
NPI Issued
Apr 19, 2010 (16.362395364717 yrs)
Last Updated
Oct 19, 2016
Licenses
DE 60257230 (WA)
D9732 (OR)
Sole Proprietor
Yes

Practice Information

Address
2323 NW WESTOVER RD
PORTLAND, OR, 972103524
Browse OR providers · Browse ZIP 97210
Phone
5038932889
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in PORTLAND, OR

Name Credential NPI
DR. NOEL VEE LARSEN D.M.D. 1437156734
DR. RICHARD I. PARK DMD 1306843669
DR. JACQUELINE BOURDETTE D.M.D. 1538166517
DR. MICHAEL CHARLES ROYSE D.M.D. 1336146307
DR. GARY RANDALL NELSON D.D.S. 1598746687
MR. SAMER HAKIMEH DDS, MS 1760407688
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.