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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861846578

Soroush Amali is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

7201 N Interstate Ave
Portland, OR 97217-5523
Phone: (503) 286-6868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2730 Sw Moody Ave, Portland, OR 97201-5042 — (503) 544-7573

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D10530 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861846578
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2016
Last updated in NPPESNovember 2, 2020
Certification dateNovember 2, 2020
Mailing address2730 Sw Moody Ave, Portland, OR 97201-5042

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