Individual
DAVID MALEKOOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2101 NE 139TH ST STE 450, VANCOUVER, WA 98686-2325
(360) 487-4848
Mailing address
PO BOX 2077, PORTLAND, OR 97208-2077
(503) 413-3900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A21059
CA
207Q00000X
Family Medicine Physician
Primary
OP61544218
WA
Other
Enumeration date
03/31/2020
Last updated
06/19/2024
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