Individual
SHIDFAR ROUHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ND
Contact information
Practice address
7825 SW 35TH AVE, PORTLAND, OR 97219-2463
(503) 235-4325
Mailing address
7825 SW 35TH AVE, PORTLAND, OR 97219-2463
(503) 235-4325
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1611
OR
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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