Individual
JAVAD SCOTT MASHKURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MULLINS DR STE C1, LEBANON, OR 97355-2868
(541) 451-7450
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
MD21838
OR
207P00000X
Emergency Medicine Physician
042.0012128
VT
207P00000X
Emergency Medicine Physician
Primary
MD224551
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002503501
MEDICARE PTAN LINKED TO CVMC-ER
VT
05
—
1018668
—
VT
05
—
134264
—
OR
Enumeration date
05/31/2007
Last updated
06/26/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us