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:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619980125 | NPPES |
| Oregon | MEDICAID | 104604 |
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