Organization
MTH CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAYYAZ MAHMOOD MD (CEO)
(503) 674-5818
Entity
Organization
Contact information
Practice address
24988 SE STARK ST, STE 300, GRESHAM, OR 97030-8322
(503) 674-5818
(503) 674-6709
Mailing address
24988 SE STARK ST, STE 300, GRESHAM, OR 97030-8322
(503) 674-5818
(503) 674-6709
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
OR
Other
Enumeration date
08/25/2005
Last updated
07/21/2022
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