Organization
NELSI INC
Active
Other names
Northwest Eye Laser & Surgery Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHRDAD MALIHI MD (PRESIDENT)
(507) 319-1904
Entity
Organization
Contact information
Practice address
11786 SW BARNES RD STE 270, PORTLAND, OR 97225-5929
(507) 319-1904
Mailing address
2633 NW HOLLOWAY DR, PORTLAND, OR 97229-8574
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
—
Other
Enumeration date
09/05/2017
Last updated
03/08/2018
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