Individual
KOUROSH MEHRAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 NW STEWART PKWY, ROSEBURG, OR 97471-1214
(541) 673-0611
Mailing address
2700 NW STEWART PKWY, ROSEBURG, OR 97471-1214
(541) 673-0611
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD216738
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/02/2019
Last updated
03/09/2026
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