Individual
EZRA AZHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3415 SW 187TH AVE, BEAVERTON, OR 97006-3106
(503) 649-5509
(503) 649-7876
Mailing address
3415 SW 187TH AVE, BEAVERTON, OR 97006-3106
(503) 649-5509
(503) 649-7876
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD14162
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104604
—
OR
Enumeration date
08/14/2006
Last updated
07/08/2007
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