Individual provider · Type 1 NPI

Mehrdad Yasrebi

Specialist · Portland, OR

NPI number 1407067614 Active

Practice location

1390 SE 122nd Ave, Suite LW1
Portland, OR 97233-1203

Call (503) 256-1557 Map

Mailing address

PO Box 862
Clackamas, OR 97015-0862

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X11922 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1407067614

Mehrdad Yasrebi's National Provider Identifier is 1407067614, issued on May 28, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.