Provider Demographics
NPI:1760494587
Name:EL-EBRASHI, SAMEH (BDS MS PC)
Entity Type:Individual
Prefix:DR
First Name:SAMEH
Middle Name:
Last Name:EL-EBRASHI
Suffix:
Gender:M
Credentials:BDS MS PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2075 SW 1ST AVENUE
Mailing Address - Street 2:SUITE 2M
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97201
Mailing Address - Country:US
Mailing Address - Phone:503-226-6659
Mailing Address - Fax:503-226-9523
Practice Address - Street 1:2075 SW 1ST AVENUE
Practice Address - Street 2:SUITE 2M
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97201
Practice Address - Country:US
Practice Address - Phone:503-226-6659
Practice Address - Fax:503-226-9523
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD86501223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics