Individual
LEESA M AZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9450 SW BARNES RD STE 100, PORTLAND, OR 97225-6642
(503) 292-9560
(503) 292-9510
Mailing address
4035 MERCANTILE DR, STE 101, LAKE OSWEGO, OR 97035-2546
(503) 697-3001
(503) 697-0906
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD18772
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066212
—
OR
Enumeration date
06/15/2006
Last updated
06/16/2021
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