# MIR CLINIC, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639353378
- **Authorized official:** DR. MEHDI M MIRTORABI M.D. (PRESIDENT)
- **Authorized official phone:** (503) 531-9990

## Contact information

- **Practice address:** 2155 NW 173RD AVE STE 102, BEAVERTON, OR 97006-3563
- **Practice address phone:** (503) 531-9990
- **Practice address fax:** (503) 531-9996
- **Mailing address:** 2155 NW 173RD AVE STE 102, BEAVERTON, OR 97006-3563
- **Mailing address phone:** (503) 531-9990
- **Mailing address fax:** (503) 531-9996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD22580 | OR | Yes |

## Other

- **Enumeration date:** 12/18/2007
- **Last updated:** 12/18/2007