Individual
DR. VISHNU MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15298 SW ROYALTY PKWY, TIGARD, OR 97224-3904
(503) 620-0721
(503) 968-1181
Mailing address
15298 SW ROYALTY PKWY, TIGARD, OR 97224-3904
(503) 620-0721
(503) 968-1181
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD24669
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227407
—
OR
Enumeration date
05/09/2006
Last updated
12/20/2012
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