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Individual

DR. AZAD MICHAEL FARR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
16088 BOONES FERRY RD STE B, LAKE OSWEGO, OR 97035-4370
(503) 496-3030
(503) 496-5808
Mailing address
16088 BOONES FERRY RD STE B, LAKE OSWEGO, OR 97035-4370
(503) 496-3030
(503) 496-5808

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3480
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DC02026280
MEDICARE
OR
Enumeration date
07/25/2007
Last updated
07/25/2007
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