Individual
MOHAMAD ALI CHEAITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 NW STEWART PKWY, ROSEBURG, OR 97471-1214
(541) 677-2185
Mailing address
2700 NW STEWART PKWY, ROSEBURG, OR 97471-1214
(541) 677-2185
(541) 677-2291
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD218228
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/26/2021
Last updated
07/19/2024
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