Individual
CHRISTOPHER RAZAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8510
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8510
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
1861809097
MD
207YS0123X
Facial Plastic Surgery Physician
Primary
MD209425
OR
390200000X
Student in an Organized Health Care Education/Training Program
1861809097
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861809097
—
MD
Enumeration date
07/21/2014
Last updated
07/01/2022
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