Rezvan, Azadeh

Rezvan, Azadeh is an sole proprietor health care provider with primary practice located at 10100 Se Sunnyside Rd Mt Talert Medical Office, Division Of Urogynecology, Clackamas OR 97015-8970. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is her primary health care specialty. Rezvan, Azadeh can be contacted via phone (503) 652-2880.

Contact Information

Primary practice address
10100 Se Sunnyside Rd Mt Talert Medical Office, Division Of Urogynecology Clackamas OR 97015-8970
Phone: (503) 652-2880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X MD171989 Oregon
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1508022781
LBN Legal business name Rezvan, Azadeh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2008
Last updated Aug 25th, 2015 - about 10 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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