| Mohandessi Psych Llc | |
|
9407 Ne Vancouver Mall Dr # 205 Vancouver WA 98662 | |
| (503) 481-9441 | |
| (503) 224-5951 |
| Full Name | Mohandessi Psych Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 9407 Ne Vancouver Mall Dr # 205, Vancouver, Washington |
| Authorized Official Name and Position | Soroush Mohandessi (PSYCHIATRIST) |
| Authorized Official Contact | 5034819441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohandessi Psych Llc 9407 Ne Vancouver Mall Dr # 205 Vancouver WA 98662 Ph: (503) 481-9441 | Mohandessi Psych Llc 9407 Ne Vancouver Mall Dr # 205 Vancouver WA 98662 Ph: (503) 481-9441 |
| NPI Number | 1770157380 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 05/18/2021 |
| Certification Date | 05/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770157380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084F0202X | Psychiatry & Neurology - Forensic Psychiatry | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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