Individual
MRS. FLORA FAZELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1750 BLANKENSHIP RD, WEST LINN, OR 97068-5101
(503) 210-4900
(503) 210-4998
Mailing address
1750 BLANKENSHIP RD, WEST LINN, OR 97068-5101
(503) 210-4900
(503) 210-4998
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
LL16545
OR
207R00000X
Internal Medicine Physician
Primary
MD27444
OR
Other
Enumeration date
01/22/2007
Last updated
10/01/2012
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