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Individual

MRS. SAMIRA GOUHAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12710 SE DIVISION ST, PORTLAND, OR 97236
(503) 820-1536
Mailing address
273 AMANDA CT, OREGON CITY, OR 97045-3467
(971) 429-1440

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000109883
OR

Other

Enumeration date
02/29/2024
Last updated
02/29/2024
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