Individual
NAOMI FERDOUS MIRZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(800) 813-2000
Mailing address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD217549
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2020
Last updated
10/21/2025
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