Azhar, Ezra

Azhar, Ezra is an individual health care provider with primary practice located at 3415 Sw 187Th Ave , Beaverton OR 97006-3106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Azhar, Ezra can be contacted via phone (503) 649-5509.

Contact Information

Primary practice address
3415 Sw 187Th Ave Beaverton OR 97006-3106
Phone: (503) 649-5509
Fax: (503) 649-7876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD14162 Oregon

Profile Details

NPI number 1619980125
LBN Legal business name Azhar, Ezra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619980125 NPPES
Oregon MEDICAID 104604

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