Organization
MIR CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHDI M MIRTORABI M.D. (PRESIDENT)
(503) 531-9990
Entity
Organization
Contact information
Practice address
2155 NW 173RD AVE STE 102, BEAVERTON, OR 97006-3563
(503) 531-9990
(503) 531-9996
Mailing address
2155 NW 173RD AVE STE 102, BEAVERTON, OR 97006-3563
(503) 531-9990
(503) 531-9996
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD22580
OR
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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