Provider Demographics
NPI:1053294736
Name:KHOURI, RANIA ANNE (DMD)
Entity type:Individual
Prefix:DR
First Name:RANIA
Middle Name:ANNE
Last Name:KHOURI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11064 SE SCOTTS SUMMIT CT
Mailing Address - Street 2:
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97086-9104
Mailing Address - Country:US
Mailing Address - Phone:503-915-3053
Mailing Address - Fax:
Practice Address - Street 1:30040 SW BOONES FERRY RD STE 20
Practice Address - Street 2:
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-8910
Practice Address - Country:US
Practice Address - Phone:503-682-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD12229122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist