Mehdi Mike Mirtorabi


Address: 2155 Nw 173rd Ave, Suite 102, Beaverton, OR 97006-3563

Mehdi Mike Mirtorabi (NPI# 1679509111, PAC ID# 7618929233) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1679509111
PAC ID by PECOS 7618929233
Professional Enrollment ID I20050211000356
Full Name Mehdi Mike Mirtorabi
Address 2155 Nw 173rd Ave
Suite 102
Beaverton
OR 97006-3563
Gender M
Credential MD
Graduation Year 1991
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
380004 PROVIDENCE ST VINCENT MEDICAL CENTER

Other Locations

Address Phone Organization
2155 Nw 173rd Ave, Suite 102, Beaverton, OR 97006-3563
9290 Se Sunnybrook Blvd, Suite 120, Clackamas, OR 97015-6802 5032152110 PROVIDENCE HEALTH AND SERVICES OREGON
10670 Ne Cornell Rd, Hillsboro, OR 97124-9221 PROVIDENCE HEALTH AND SERVICES OREGON
5050 Ne Hoyt, 454 Providence Med Group, Portland, OR 97213-2984 5032156405 PROVIDENCE HEALTH AND SERVICES OREGON
5050 Ne Hoyt St, Portland, OR 97213-2984 PROVIDENCE HEALTH AND SERVICES OREGON

Organization Information

Office Location

Street Address 2155 NW 173RD AVE
SUITE 102
City BEAVERTON
State OR
Zip 97006-3563

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Sandhya V Koppula Dermatology 17200 Nw Corridor Ct, Suite 112, Beaverton, OR 97006-3295
Connie A Oreilly Clinical Psychologist 18156 Nw Cambray St, Beaverton, OR 97006-3432
Curtis G Delplanche Neurology 20 Nw 185th Ave, Aloha, OR 97006-3507
Christopher S Estes Orthopedic Surgery Legacy Clinics LLC 1960 Nw 167th Pl, Suite 200, Beaverton, OR 97006-4804
Thomas W Lyttle Physical Therapy Legacy Clinics LLC 1960 Nw 167th Pl, Suite 200, Beaverton, OR 97006-4804
Christine E Shrader Physical Therapy Legacy Clinics LLC 1960 Nw 167th Pl, Suite 200, Beaverton, OR 97006-4804
Alison H Linka Physical Therapy Legacy Clinics LLC 1960 Nw 167th Pl, Suite 200, Beaverton, OR 97006-4804
Wendi A Lucero Physical Therapy Legacy Clinics LLC 1960 Nw 167th Pl, Suite 200, Beaverton, OR 97006-4804
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Competitor

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City BEAVERTON
Zip Code 97006
Specialty INTERNAL MEDICINE
City + Specialty BEAVERTON + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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