| Doctor Name: | MEHDI S FERDOWS |
| NPI Number: | 1518960616 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD, PHD |
| License Number: | MD000411 |
| Business Practice Address: | 814 Ne 87th Ave Vancouver, WA - 986641915 |
| Business Phone Number: | 3608230880 |
| Business Fax Number: | 3608230883 |
| Mailing Address: | Po Box 5894, VANCOUVER |
| State: | WA |
| Postal Code: | 986685894 |
| Phone Number: | 3608230880 |
| Fax Number: | 3608230883 |
| NPI Enumeration Date: | 05/23/2005 |
| NPI Last Update Date: | 06/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/16/2006 |
| NPI Reactivation Date: | 03/29/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | MD000411 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |