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Individual

DR. NOOR AGHA MANSOORI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2211 NE 139TH ST, ROOM 2C117, VANCOUVER, WA 98686-2742
(360) 487-2500
(360) 487-2539
Mailing address
PO BOX 5157, VANCOUVER, WA 98668-5157
(360) 667-3056
(360) 666-0466

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00044849
WA
207L00000X
Anesthesiology Physician
MD25411
OR

Other

Enumeration date
05/20/2006
Last updated
04/02/2009
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