Active NPIIndividual provider

Ezra Azhar, MD

Family Medicine in Beaverton, Oregon

NPI Number1619980125
Practice location
3415 SW 187TH Ave, Beaverton, OR 97006-3106
Fax
503-649-7876
Last updated
July 8, 2007

Ezra Azhar is a Family Medicine based in Beaverton, OR. Ezra Azhar practices in Beaverton, OR and has the professional credentials of MD. The NPI Number for Ezra Azhar is 1619980125 and holds a License No. MD14162 (OR). The current practice location address for Ezra Azhar is 3415 SW 187TH Ave, Beaverton, OR 97006-3106 and can be reached out via phone at 503-649-5509 and via fax at 503-649-7876.

Provider Profile Details

NPI Number
1619980125
Provider Name
Ezra Azhar
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3415 SW 187TH Ave, Beaverton, OR 97006-3106
Phone Number
503-649-5509
Fax Number
503-649-7876
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
August 14, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
3415 SW 187TH Ave
Beaverton, OR 97006-3106
State
Oregon
Zip
97006-3106
Phone Number
503-649-5509
Fax Number
503-649-7876
Beaverton, OR 97006Get directions →

Provider Business Mailing Address Details

Address
3415 SW 187TH Ave
Beaverton, OR 97006-3106
City
Beaverton
State
OR
Zip
97006-3106
Phone Number
503-649-5509
Fax Number
503-649-7876

License Information

License Number
MD14162
License State
OR
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ezra Azhar, MD?

The NPI number of Ezra Azhar, MD is 1619980125. It was assigned on August 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Ezra Azhar, MD?

Ezra Azhar, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in OR under license number MD14162.

Where does Ezra Azhar, MD practice?

The practice location is 3415 SW 187TH Ave, Beaverton, OR 97006-3106. The office can be reached at 503-649-5509 (phone) or 503-649-7876 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619980125 directly on the NPPES registry website.

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