Individual
DR. MOHAMMED S MOHAMMED
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3640 NW SAMARITAN DR, SUITE 250, CORVALLIS, OR 97330-3784
(541) 753-7473
(451) 753-7364
Mailing address
PO BOX 1122, CORVALLIS, OR 97339-1122
(541) 753-7473
(541) 753-7364
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD17525
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034079
—
OR
Enumeration date
11/10/2005
Last updated
07/08/2007
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