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General NPI Number Information
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NPI Number | 1689988651
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Entity Type | Individual
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Provider Name | DHARMINI PATHMANATHAN DMD, PHD
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Gender | Female
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Dates
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Enumeration Date | 08/02/2010
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 17305 NW CORRIDOR CT STE 150
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City | BEAVERTON
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State | OR
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Zip | 97006-3542
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Country | US
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Telephone | 503-531-8844
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Fax |
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Provider Business Mailing Address
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Address Line | 6242 NE BRIGHTON ST
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City | HILLSBORO
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State | OR
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Zip | 97124-5076
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Country | US
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Telephone | 503-501-7752
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | D9438
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | D9438
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License Number State | OR
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