Individual
JALEH MIKO RAHIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1321 NE 99TH AVE STE 200, PORTLAND, OR 97220-9439
(503) 215-4250
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD184080
OR
207Q00000X
Family Medicine Physician
ML 60470557
WA
Other
Enumeration date
06/04/2014
Last updated
10/14/2020
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