Active NPIIndividual provider

Javad S Mashkuri, MD

Emergency Medicine in Lebanon, Oregon

NPI Number1518168814
Practice location
100 Mullins Dr Ste C1, Lebanon, OR 97355-2868
Fax
—
Last updated
June 26, 2025

Javad Scott Mashkuri is an Emergency Medicine based in Lebanon, OR. Javad Scott Mashkuri practices in Lebanon, OR and has the professional credentials of MD. The NPI Number for Javad Scott Mashkuri is 1518168814 and holds a License No. MD21838 (OR). The current practice location address for Javad Scott Mashkuri is 100 Mullins Dr Ste C1, Lebanon, OR 97355-2868 and can be reached out via phone at 541-451-7450.

Provider Profile Details

NPI Number
1518168814
Provider Name
Javad Scott Mashkuri
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Mullins Dr Ste C1, Lebanon, OR 97355-2868
Phone Number
541-451-7450
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
May 31, 2007
Last Update Date
June 26, 2025
Certification Date
June 26, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Mullins Dr Ste C1
Lebanon, OR 97355-2868
State
Oregon
Zip
97355-2868
Phone Number
541-451-7450
Lebanon, OR 97355Get directions →

Provider Business Mailing Address Details

Address
Po Box 1189
Corvallis, OR 97339-1189
City
Corvallis
State
OR
Zip
97339-1189

License Information

License Number (1)
MD21838
License State (1)
OR
Taxonomy (1)
Personal Emergency Response Attendant · 146D00000X
License Number (2)
042.0012128
License State (2)
VT
Taxonomy (2)
Emergency Medicine · 207P00000X
License Number (3)
MD224551
License State (3)
OR
Taxonomy (3)
Emergency Medicine · 207P00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Javad S Mashkuri, MD?

The NPI number of Javad S Mashkuri, MD is 1518168814. It was assigned on May 31, 2007 and is currently active in the NPPES registry.

What is the specialty of Javad S Mashkuri, MD?

Javad S Mashkuri, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in OR under license number MD21838.

Where does Javad S Mashkuri, MD practice?

The practice location is 100 Mullins Dr Ste C1, Lebanon, OR 97355-2868. The office can be reached at 541-451-7450 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518168814 directly on the NPPES registry website.

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