Individual
MAZIAR AZADPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
875 OAK ST SE, SUITE 5080, SALEM, OR 97301-3975
(503) 485-4787
(503) 485-4789
Mailing address
777 COMMERCIAL ST SE, 130, SALEM, OR 97301-3421
(503) 798-9306
(503) 485-4789
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD26734
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005969
—
OR
01
—
831646004
BCBS
OR
01
—
P00359745
RAILROAD MEDICARE
OR
Enumeration date
05/17/2006
Last updated
01/24/2017
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