Organization
MOHANDESSI PSYCH LLC
Active
Organization
MOHANDESSI PSYCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOROUSH MOHANDESSI MD (PSYCHIATRIST)
(503) 481-9441
Entity
Organization
Contact information
Practice address
9407 NE VANCOUVER MALL DR # 205, VANCOUVER, WA 98662
(503) 481-9441
(503) 224-5951
Mailing address
9407 NE VANCOUVER MALL DR # 205, VANCOUVER, WA 98662
(503) 481-9441
(503) 224-5951
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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