Individual
DR. STEVEN ELIAS MANSOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8211
Mailing address
3515 SW 12TH AVE, PORTLAND, OR 97239-2972
(503) 752-3775
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD167537
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2009
Last updated
07/25/2017
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