Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mastaneh Pournaderi, DDS

Individual provider Dentist · NPI 1063729523

Dr. Mastaneh Pournaderi, DDS is a Dentist in Portland, Oregon. Licensed in California and Oregon. Registered with an NPI since 2010.

Licensed in
CA, OR
In the registry since
2010
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

12710 SE Division St
Portland, OR 97236-3134
Phone: (503) 988-3410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D8516 (OR)
Dentist Taxonomy 122300000X · Licence 42083 (CA)

Record details

NPI number1063729523
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 4, 2010
Last updated in NPPESSeptember 4, 2010

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