Individual
DR. ATTA GOUDARZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1750 THOMPSON RD, COOS BAY, OR 97420-2195
(541) 269-0333
Mailing address
1750 THOMPSON RD, COOS BAY, OR 97420-2195
(541) 269-0333
(716) 898-3279
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD204618
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2018
Last updated
10/04/2021
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