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

FELIX WIYANTO SIM, MBBS, BDS

Active

FELIX WIYANTO SIM, MBBS, BDS is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in PORTLAND, Oregon. NPI 1104209386 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · PORTLAND, OR

Registration Details

NPI Number
1104209386
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2015 (11.130213208334 yrs)
Last Updated
Jul 7, 2015
License
FE172458 (OR)

Practice Information

Address
1015 NW 22ND AVE
PORTLAND, OR, 972103025
Browse OR providers · Browse ZIP 97210
Phone
5034134656
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X

Other Oral & Maxillofacial Surgery (Physician) Providers in PORTLAND, OR

Name Credential NPI
DR. BRYCE EARL POTTER MD, DMD 1346249281
RICHARD BRYAN BELL MD, DDS 1992704878
ERIC J DIERKS MD, DMD 1265432025
MARK E ENGELSTAD MD, DDS 1437102746
LEON ALLEN ASSAEL DMD 1033124532
ROBERT W.T. MYALL MD 1720093230
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.