Fazeli, Flora

Fazeli, Flora is an individual health care provider with primary practice located at 1750 Blankenship Rd , West Linn OR 97068-5101. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Fazeli, Flora can be contacted via phone (503) 210-4900.

Contact Information

Primary practice address
1750 Blankenship Rd West Linn OR 97068-5101
Phone: (503) 210-4900
Fax: (503) 210-4998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X LL16545 Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD27444 Oregon

Profile Details

NPI number 1215081112
LBN Legal business name Fazeli, Flora
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Oct 1st, 2012 - about 12 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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