Individual
NABIL TARAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 464-9875
Mailing address
PO BOX 696, PORTLAND, OR 97207-0696
(503) 963-1290
(503) 230-1541
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD20805
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
838119000
BLUE CROSS
—
Enumeration date
06/26/2006
Last updated
07/08/2007
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