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Individual

HYTHAM MOHAMED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7523
Mailing address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7523

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
03/13/2025
Last updated
06/30/2025
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