NPI 1619980125 · live from the CMS NPI Registry
Ezra Azhar, MD
Family Medicine in Beaverton, OR. National Provider Identifier 1619980125, active.
NPI record
| NPI | 1619980125 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 3415 Sw 187th Ave, Beaverton, OR 97006 |
| Practice phone | 503-649-5509 |
| Enumerated | August 14, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | MD14162 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.