MOHAMMAD HISSOUROU III MD
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1538664057- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 808 SW CAMPUS DR, PORTLAND, OR, 972393008
- Phone
- (503) 494-8756
Specialties & Taxonomies
Unknown
Primary License: OR #MD209773
Student in an Organized Health Care Education/Training Program