Individual
MASOUD RAMIN MIRZAZADEH JAVAHERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8029 SE WOODSTOCK BLVD, PORTLAND, OR 97206-5885
(503) 774-1776
Mailing address
73 NANSEN SMT, LAKE OSWEGO, OR 97035-1066
(503) 217-9767
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6313
OR
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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