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1619980125
EZRA AZHAR
BEAVERTON, OR
NPI
1619980125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD14162)
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
-- EZRA AZHAR MD
3415 SW 187TH AVE
BEAVERTON, OR 97006-3106
Phone number: 503-649-5509
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Mailing Address
-- EZRA AZHAR MD
3415 SW 187TH AVE
BEAVERTON, OR 97006-3106
Phone number: 503-649-5509
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