Mir Clinic, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD22580 Issued in OR

Legal business name

MIR CLINIC, P.C.

Practice address

2155 NW 173Rd Ave Ste 102
Beaverton, OR 97006-3563

Phone

(503) 531-9990

Fax

(503) 531-9996

NPI assigned

Dec 18, 2007

Last updated

Dec 18, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mehdi M Mirtorabi, M.D.NPI 1679509111

Title

President

Phone

(503) 531-9990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mehdi M Mirtorabi, MD

  • Internal Medicine Physician
  • Beaverton, OR
  • NPI 1679509111
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1639353378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 NW 173RD AVE STE 102",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970063563",
            "telephone_number": "503-531-9990",
            "fax_number": "503-531-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 NW 173RD AVE STE 102",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970063563",
            "telephone_number": "503-531-9990",
            "fax_number": "503-531-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIR CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "MIRTORABI",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-531-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD22580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind Matters PC
• Mindfulness Counseling LLC
• Elizabeth M Minick, MSW
• D'Nise Michele Minor, LMT
• Laura Minthorne, OTD, OTR/L
• Jared Miracle, PA-C
• Miranda McCormack, M.D., LLC
• Elisa Miranda
• Mehdi M Mirtorabi, MD
• Terri Lynn Mishler, PSYD

• Internal Medicine Physician in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.