Individual
MOHIEDEAN GHOFRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
SW WASHINGTON MEDICAL CENTER, VANCOUVER, WA 98668
(360) 514-2116
(360) 514-6517
Mailing address
PO BOX 873097, VANCOUVER, WA 98687-3097
(360) 210-7924
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
043544
CT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD00046467
WA
Other
Enumeration date
11/17/2005
Last updated
07/08/2007
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