Individual
MR. MOHAMMAD-AMIN SAFAR-ALI BONAKDAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
21400 SALAMO RD, WEST LINN, OR 97068-7201
(503) 650-2487
Mailing address
11900 SW PELICAN WAY, BEAVERTON, OR 97007-8944
(971) 344-0009
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26905
OR
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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