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NASTARAN NEISHABOORI

Individual Provider (NPI-1) Active

Pathology, Molecular Genetic Pathology

Provider Information

NPI Number
1306264999
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
4805 NE GLISAN ST, PORTLAND, OR, 972132933
Phone
(503) 893-7692

Specialties & Taxonomies

Pathology, Molecular Genetic Pathology License: OR #MD222287
Pathology, Molecular Genetic Pathology Primary License: CA #A149044

All Addresses

MAILING

1500 NE 15TH AVE APT 443

PORTLAND, OR, 972324418

(832) 540-0098

LOCATION

4805 NE GLISAN ST

PORTLAND, OR, 972132933

(503) 893-7692