Individual
NOUROLHODA BIROUTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, OHSU DIAGNOSTIC RADIOLOGY L340, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PARK RD, OHSU DIAGNOSTIC RADIOLOGY L340, PORTLAND, OR 97239-3011
(503) 494-8311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-060995
IL
2085B0100X
Body Imaging Physician
MD168019
OR
2085R0202X
Diagnostic Radiology Physician
Primary
MD168019
OR
2085R0202X
Diagnostic Radiology Physician
PG163551
OR
Other
Enumeration date
07/13/2012
Last updated
07/28/2017
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