Individual provider · Type 1 NPI

Andrew Alex Davoodian, MD, MBA

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1922595156 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098

Mailing address

3181 SW Sam Jackson Park Rd # L-579
Portland, OR 97239-3011

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1922595156

Andrew Alex Davoodian, MD, MBA's National Provider Identifier is 1922595156, issued on Apr 13, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Apr 13, 2018.