Individual
LAUREN MARIE AZARBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, L353, PORTLAND, OR 97239-3011
(503) 494-7820
(503) 494-7829
Mailing address
3181 SW SAM JACKSON PARK RD, L353, PORTLAND, OR 97239-3011
(503) 494-7820
(503) 494-7829
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA01415
OR
Other
Enumeration date
08/07/2007
Last updated
11/03/2015
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