Individual
SYED OMAR YOUSUF KAZMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
890 OAK ST SE, SALEM, OR 97301-3905
(503) 561-5200
Mailing address
PO BOX 14001, SALEM, OR 97309-5014
(503) 561-5200
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD185826
OR
390200000X
Student in an Organized Health Care Education/Training Program
BP10043497
TX
Other
Enumeration date
07/13/2012
Last updated
08/15/2018
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