Individual
DIA HAZRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 939-8317
Mailing address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
198701
OR
208000000X
Pediatrics Physician
60756769
WA
Other
Enumeration date
03/22/2017
Last updated
05/26/2023
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