Search › Washington › 1223P0300X
Behnam Fakhravar, DMD, MS
NPI 1700164969 · on the registry since 2011 · sole proprietor
Practice
- Address
- 322 Se 192nd Ave Ste 100
Vancouver, WA 98683 - Phone
- (219) 360-9587
- Clinicians at this address
- 5
Additional practice sites
- 1440 N Lombard St, Portland, OR
- 2404 Columbia House Blvd, Vancouver, WA
- 1710 Sw 9th Ave Ste 120, Battle Ground, WA
- 800 Ne Tenney Rd Ste B201, Vancouver, WA
Registry record
- Primary taxonomy
- 1223P0300X
1223P0300X
- Also registered as
- 1223P0300X
1223P0300X
1223P0300X
1223P0300X - Licence states on file
- CA, WI, TX, OR, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington