Porth is a Orthodontics and Dentofacial Clinic in Sammamish, Washington. It is located at 22620 Se 4th St Ste 210, Sammamish, WA and its contact number is 425-526-2060. The authorized person for Porth is Dr. Roozbeh Khosravi
who is Orthodontist of the clinic and their contact number is 617-466-9090. Porth Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Porth Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Porth
Specialization:
Orthodontics and Dentofacial Orthopedics
Clinic Address:
22620 Se 4th St Ste 210, Sammamish, Washington, 98074-7375
Phone:
425-526-2060
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Roozbeh Khosravi
Position:
Orthodontist
Contact Number:
617-466-9090
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Porth clinic are as mentioned below.
NPI Number:
1962913509
NPI Enumeration Date:
23 Oct, 2017
NPI Last Update On:
23 Oct, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Porth are as mentioned below.
Specialization
License Number
State
Status
Orthodontics and Dentofacial Orthopedics
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1629433891
Medicaid
Washington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Porth 22620 Se 4th St Ste 210, Sammamish, Washington
Zip:
98074-7375
Phone Number:
425-526-2060
Patients can reach Porth at 22620 Se 4th St Ste 210, Sammamish, Washington or can call to book an appointment on 425-526-2060. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.