Individual
DR. MOHAMUD RAMZANALI DAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, M S
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAILCODE CDW-EM, PORTLAND, OR 97239-3011
(503) 494-7248
(503) 494-4997
Mailing address
3181 SW SAM JACKSON PARK RD, MAILCODE CDW-EM, PORTLAND, OR 97239-3011
(503) 494-7248
(503) 494-4997
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD14431
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055223
OMAP
OR
Enumeration date
06/15/2005
Last updated
07/13/2007
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