Individual provider · Type 1 NPI

Fairouz Chouikh, DMD

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1407134596 Active

Practice location

2801 N Gantenbein Ave
Portland, OR 97227-1623

Call (503) 413-2200 Map

Mailing address

982 Ave. Wilfrid-Pelletier, Apt. 304
Ste-Foy, QC G1W 4Y2

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112XD10993 (OR)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1407134596

Fairouz Chouikh, DMD's National Provider Identifier is 1407134596, issued on Jul 24, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Mar 18, 2019.