Individual
DR. ALI DOWLATDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2055 EXCHANGE ST, SUITE 270, ASTORIA, OR 97103-3419
(503) 325-9597
(503) 325-9639
Mailing address
P,O. BOX 23200, MEDICAL SPECIALTY SOLUTIONS, PORTLAND, OR 97281-3200
(503) 670-6322
(503) 968-2779
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD14231
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106252
—
OR
Enumeration date
11/27/2005
Last updated
10/17/2007
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