Provider Demographics
NPI:1689835654
Name:DEEN, SERINA RAYHAN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:SERINA
Middle Name:RAYHAN
Last Name:DEEN
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:833 SW 11TH AVE STE 414
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205-2118
Mailing Address - Country:US
Mailing Address - Phone:503-496-8831
Mailing Address - Fax:503-894-6017
Practice Address - Street 1:833 SW 11TH AVE STE 414
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-2118
Practice Address - Country:US
Practice Address - Phone:503-496-8831
Practice Address - Fax:503-894-6017
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-22
Last Update Date:2019-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2550222084P0800X
CAA1207072084P0800X
ORMD1803242084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry