Individual
DR. BOBAK AMIR GHAHERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24076 SE STARK ST, SUITE 230, GRESHAM, OR 97030-3373
(503) 488-2600
(503) 465-5468
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD27404
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006246
—
OR
05
—
8481699
—
WA
Enumeration date
11/13/2006
Last updated
12/04/2025
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