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Azadeh Rezvan, MD
Student in an Organized Health Care Education/Training Program in Clackamas, Oregon
NPI 1508022781

Azadeh Rezvan is a Student in an Organized Health Care Education/Training Program based in Clackamas, OR. Azadeh Rezvan practices in Clackamas, OR and has the professional credentials of MD. The NPI Number for Azadeh Rezvan is 1508022781 and holds a License No. MD171989 (Oregon).

The current practice location address for Azadeh Rezvan is 10100 Se Sunnyside Rd, Clackamas, OR and can be reached out via phone at 503-652-2880.

Location: 10100 Se Sunnyside Rd, Clackamas, OR, 97015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508022781
Provider Name
Azadeh Rezvan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
10100 Se Sunnyside Rd, Clackamas, OR, 97015
Phone Number
503-652-2880
Fax Number
Provider Enumeration Date
08/06/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10100 Se Sunnyside Rd
City
Clackamas
State
Oregon
Zip
97015-8970
Phone Number
503-652-2880
Fax Number
person
Provider Business Mailing Address Details
Address
10100 Se Sunnyside Rd
City
Clackamas
State
Oregon
Zip
97015-8970
Phone Number
503-652-2880
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Female Pelvic Medicine and Reconstructive Surgery
Taxonomy
207VF0040X
License No.
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Definition
A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MD171989 (Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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