SHIDROKH TAEIDI

HILLSBORO, OR
NPI1780110205
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  DO198909)
Additional Taxonomies207Q00000X Family Medicine
(Licence: WA  OL60769782)
Enumeration Date2017-05-03
Last Update Date2021-03-25
Business Address
SHIDROKH TAEIDI DO
10670 NE CORNELL RD STE 300
HILLSBORO, OR 97124-9221
Phone number: 503-216-9300
Mailing Address
SHIDROKH TAEIDI DO
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494