Mirza, Amer J

Mirza, Amer J is an individual health care provider with primary practice located at 4103 Mercantile Dr , Lake Oswego OR 97035-2556. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mirza, Amer J can be contacted via phone (503) 850-9940.

Contact Information

Primary practice address
4103 Mercantile Dr Lake Oswego OR 97035-2556
Fax: (503) 850-6709
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD27789 Oregon

Profile Details

NPI number 1548296593
LBN Legal business name Mirza, Amer J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Apr 5th, 2024 - about last year

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 1548296593 NPPES
Oregon MEDICAID 500672508

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