Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | R4511 | TX |
Y | 2080P0202X | Pediatric Cardiologist | MD193370 | OR |
NPI | 1033505672 |
---|---|
Provider Name | Dr. Mohammad Alnoor |
First Address | Portland, OR 97239-3107 |
Second Address | Portland, OR 97239-3107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2015 |
Last Update Date | 02/02/2022 |