Sasan, Mohammad Reza

Sasan, Mohammad Reza is an sole proprietor health care provider with primary practice located at 19200 Sw Martinazzi Ave , Tualatin OR 97062-6357. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is his primary health care specialty. Sasan, Mohammad Reza can be contacted via phone (503) 691-4233.

Contact Information

Primary practice address
19200 Sw Martinazzi Ave Tualatin OR 97062-6357
Phone: (503) 691-4233
Fax: (503) 691-4220
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 13388 Oregon
Pharmacy Service Providers / Pharmacist 183500000X 35947 Texas
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 0013388 Oregon

Profile Details

NPI number 1164850723
LBN Legal business name Sasan, Mohammad Reza
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2013
Last updated May 3rd, 2017 - about 7 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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