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Individual

ANTHONY ANWAR RAZZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1111 NE 99TH AVE, PORTLAND, OR 97220-9428
(503) 963-2707
(503) 963-2802
Mailing address
847 NE 19TH AVE, SUITE 300, PORTLAND, OR 97232-2684
(503) 963-2801
(503) 963-2825

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD176431
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2046313
WA
05
500708645
OR
Enumeration date
07/08/2009
Last updated
11/17/2021
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