Individual
DR. MITCHKA MOHAMMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(999) 999-9999
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(800) 249-1266
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
03/23/2026
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