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Individual

SERGIO FAZIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 418-9008
Mailing address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 418-9008

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MF165476
OR
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MF165476
OR

Other

Enumeration date
10/25/2006
Last updated
05/07/2014
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