Individual
MONA MIRPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11845 SW GREENBURG RD STE 210, TIGARD, OR 97223-6464
(971) 264-0952
Mailing address
901 BRUTSCHER ST, ST # D141, NEWBERG, OR 97132-6096
(971) 264-0879
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
09/17/2024
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