Individual
MEHDI M MIRTORABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2155 NW 173RD AVE, SUITE 102, BEAVERTON, OR 97006-3563
(503) 531-9990
(503) 531-9996
Mailing address
2155 NW 173RD AVE, SUITE 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
06/25/2006
Last updated
02/06/2008
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