Healthcare Provider Details

I. General information

NPI: 1811801194
Provider Name (Legal Business Name): DR. HARPRIT SINGH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16155 NW CORNELL RD STE 450
BEAVERTON OR
97006-8101
US

IV. Provider business mailing address

39988 NW MALLER LN
BANKS OR
97106-8435
US

V. Phone/Fax

Practice location:
  • Phone: 971-247-4299
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD12332
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: