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Individual

DR. ATANAZ ZARGAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9000 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9758
(503) 974-5058
Mailing address
9000 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9758
(480) 628-7102

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0011917
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0011917
OREGON STATE BOARD OF PHARMACY
OR
Enumeration date
09/26/2013
Last updated
09/26/2013
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