Individual
RICHARD THOMAS MAZIARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE UHN73C, PORTLAND, OR 97239-3011
(503) 494-4606
(503) 494-1552
Mailing address
415 NE LAURELHURST PL, PORTLAND, OR 97232-3339
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD17664
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045190
—
OR
Enumeration date
07/31/2006
Last updated
08/15/2007
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