Most Relevant Information
Provider Data
| NPI Number: | 1003527003 |
| Provider Name: | ESHA MUKHERJEE MSD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223P0700X |
| Specialty: | Dentist |
| License Number: | DF0054 |
Most Important Dates
| Enumeration Date: | 12/09/2022 |
| Last Updated: | 12/09/2022 |
Provider Practice Location
2730 S MOODY AVE
PORTLAND
OR
972015042
Practice Location Phone/Fax
| Phone: | 5025313763 |
| Fax: |
Provider Mailing Location
2111 NE 15TH AVE APT 7
PORTLAND
OR
972124417
Provider Mailing Phone/Fax
| Phone: | 5034948737 |
| Fax: |