Hissourou, Mohammad

Hissourou, Mohammad is an individual health care provider with primary practice located at 808 Sw Campus Dr , Portland OR 97239-3008. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Hissourou, Mohammad can be contacted via phone (503) 494-8756.

Contact Information

Primary practice address
808 Sw Campus Dr Portland OR 97239-3008
Phone: (503) 494-8756
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD209773 Oregon
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1538664057
LBN Legal business name Hissourou, Mohammad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2018
Last updated Jun 6th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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