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MANSOOR, SIMIN       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: EVERGREEN MEDICAL CENTER
DEYOUNG PAVILION
12039 NE 128TH STREET SUITE 300
KIRKLAND WA 98034

Address last updated on 11/30/2016
Phone #: (615) 854-0298
Fax #:
County: NOT OKLAHOMA
License: 31909
Dated: 12/16/2015
Expires: 12/1/2017
License Type: Medical Doctor
Specialty: Neurology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Dow Med Coll, Univ Of Karachi, Karachi, Pakistan
Graduated: 6 / 2003
CME Year: 2018
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY - Clinical Neurophysiology
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY - Vascular Neurology
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY (Neurology specific)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
EVERGREEN MEDICAL CENTER
DEYOUNG PAVILION
12039 NE 128TH STREET SUITE 300
KIRKLAND WA 98034

Phone #: (615) 854-0298
Fax #:
Mon: 8:00AM - 4:00PM
Tue: 8:00AM - 4:00PM
Wed: 8:00AM - 4:00PM
Thu: 8:00AM - 4:00PM
Fri: 8:00AM - 4:00PM
Sat:
Sun:

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