AMER J MIRZA, MD PC
Ambulatory Health at Graham St, Portland, OR

License number
Oregon MD27789
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: KIM K GUESTQ ADMIN
Title: ADMINISTRATOR
Phone: (503) 249-0719
Address
Address
501 N Graham St SUITE 250, Portland, OR 97227
National Provider ID: 1982033494
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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AMER J MIRZA, MD PC

Portland, OR

Industry:
Medical Doctor's Office, Nonclassifiable Establishments
Registration:
Oct 14, 2013
Addresses:
501 N Graham STE 250, Portland, OR 97227 (Physical)
PO Box 2726, Portland, OR 97208 (Mailing)
State ID:
97071394
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Agent:
Kim Guest,501 N Graham STE 250, Portland, OR 97227 (Physical)

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