Individual
DR. SHANDIZ TEHRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-3000
(503) 418-0843
Mailing address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-3000
(503) 418-0843
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD161699
OR
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
MD161699
OR
Other
Enumeration date
07/21/2008
Last updated
10/23/2017
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