Provider Demographics
NPI:1346662111
Name:PASHANDI, ZOHREH
Entity Type:Individual
Prefix:MRS
First Name:ZOHREH
Middle Name:
Last Name:PASHANDI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 SW PARK AVE
Mailing Address - Street 2:710
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97201-3267
Mailing Address - Country:US
Mailing Address - Phone:503-953-3100
Mailing Address - Fax:
Practice Address - Street 1:2075 SW 1ST AVE
Practice Address - Street 2:1C
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97201-5314
Practice Address - Country:US
Practice Address - Phone:971-717-6882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-14
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC158098171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty