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Individual

FAREHA A NAWAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9155 SW BARNES RD STE 330, PORTLAND, OR 97225-6630
(503) 772-1174
(503) 765-1445
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD29099
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500610168
OR
Enumeration date
04/25/2007
Last updated
07/03/2024
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