Individual
MISHA MOHINDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
875 OAK ST SE STE 5070, SALEM, OR 97301-3998
(503) 561-8565
(503) 561-8560
Mailing address
875 OAK ST SE STE 5070, SALEM, OR 97301-3998
(503) 561-8565
(503) 561-8560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036 116256
IL
207R00000X
Internal Medicine Physician
1999136261
MO
207RN0300X
Nephrology Physician
Primary
MD28056
OR
Other
Enumeration date
09/13/2007
Last updated
05/24/2012
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