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Individual

DR. AAZY A AABY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1955 NW NORTHRUP ST, PORTLAND, OR 97209-1614
(503) 227-2020
(503) 222-0614
Mailing address
11086 SE OAK ST, MILWAUKIE, OR 97222-6692
(503) 557-2020
(503) 344-5110

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD14578
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142315
OR
Enumeration date
11/15/2005
Last updated
11/17/2009
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