Individual
SHARIF MOSALLAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 487-1168
Mailing address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 487-1168
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MDRE.ML.61591044
WA
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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