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

Individual provider Dentist · NPI 1558762401

Dr. Richie Kohli is a Dentist in Portland, Oregon. Licensed in Oregon and Texas. Registered with an NPI since 2014.

Licensed in
OR, TX
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

3030 SW Moody Ave
Portland, OR 97201-4869
Phone: (503) 494-3067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 29399 (TX)
Public Health Dentistry Taxonomy 1223D0001X · Licence D10062 (OR)

Record details

NPI number1558762401
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 10, 2014
Last updated in NPPESSeptember 10, 2014
Mailing address3030 Sw Moody Ave, Portland, OR 97201-4869

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