Organization
HOSSEINION FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRAM HOSSEINION MD (PROVIDER/OWNER)
(503) 234-2070
Entity
Organization
Contact information
Practice address
3942 SE HAWTHORNE BLVD, PORTLAND, OR 97214-5242
(503) 234-2070
(503) 235-3956
Mailing address
PO BOX 97115, LAKEWOOD, WA 98497-0115
(253) 588-7911
(253) 365-6299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD26562
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD26562
MEDICAL PROFESSIONAL LICENSE
OR
Enumeration date
10/05/2010
Last updated
11/10/2015
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