Individual
DR. SOROUSH MOHANDESSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
833 SW 11TH AVE STE 214, PORTLAND, OR 97205-2116
(503) 481-9441
(503) 224-5951
Mailing address
833 SW 11TH AVE STE 214, PORTLAND, OR 97205-2116
(503) 481-9441
(503) 224-5951
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD126173
OR
Other
Enumeration date
03/11/2008
Last updated
01/20/2011
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