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Individual

KIARASH KOJOURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
307 S. 13TH STREET, MOUNT VERNON, WA 98274
(360) 814-2146
Mailing address
PO BOX 1363, MOUNT VERNON, WA 98273
(360) 424-4111

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
MD60078181
WA
207RX0202X
Medical Oncology Physician
Primary
MD60078181
WA

Other

Enumeration date
05/18/2006
Last updated
03/20/2019
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