-- FELIX WIYANTO SIM -- MBBS, BDS
Individual Provider (NPI-1)
Active
Oral & Maxillofacial Surgery
Provider Information
- NPI Number
1104209386- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MBBS, BDS
- Status
- Active
Contact & Location
- Address
- 1015 NW 22ND AVE, PORTLAND, OR, 972103025
- Phone
- (503) 413-4656
Specialties & Taxonomies
Oral & Maxillofacial Surgery
Primary License: OR #FE172458