Individual
HASSAN A GHANDOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1460 G ST, SPRINGFIELD, OR 97477-4112
(541) 726-4406
(541) 744-6063
Mailing address
1460 G ST, SPRINGFIELD, OR 97477-4112
(541) 726-4406
(541) 744-6063
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD19645
OR
Other
Enumeration date
01/16/2006
Last updated
11/08/2016
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