Individual
SHIDROKH TAEIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10670 NE CORNELL RD STE 300, HILLSBORO, OR 97124-9221
(503) 216-9300
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO198909
OR
207Q00000X
Family Medicine Physician
OL60769782
WA
Other
Enumeration date
05/03/2017
Last updated
07/14/2025
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