MINA MOSTAFAVIFAR

PORTLAND, OR
NPI1639551468
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OR  PA202153)
Additional Taxonomies363A00000X Physician Assistant
(Licence: OR  PA202153)
363A00000X Physician Assistant
(Licence: NM  PA2015-0039)
Enumeration Date2015-06-29
Last Update Date2020-12-18
Business Address
MINA MOSTAFAVIFAR PA-C
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8311
Mailing Address
MINA MOSTAFAVIFAR PA-C
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8311