Ezra Azhar (NPI# 1619980125, PAC ID# 9436339769) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1619980125 |
| PAC ID by PECOS | 9436339769 |
| Professional Enrollment ID | I20110203000758 |
| Full Name | Ezra Azhar |
| Address |
3415 Sw 187th Ave Beaverton OR 97003-3106 |
| Phone Number | 5036495509 |
| Gender | M |
| Graduation Year | 1972 |
| Primary Specialty | FAMILY PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| 380021 | TUALITY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3415 Sw 187th Ave, Beaverton, OR 97003-3106 | 5036495509 |
| Street Address |
3415 SW 187TH AVE |
| City | BEAVERTON |
| State | OR |
| Zip | 97003-3106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Serana Kathryn Chester | Psychologist, Clinical | Dr Laura Renteria PC | 14631 Sw Millikan Way, Beaverton, OR 97003-2999 |
| Laura Renteria | Psychologist, Clinical | Dr Laura Renteria PC | 14631 Sw Millikan Way, Beaverton, OR 97003-2999 |
| Jacqueline K Ng | Ophthalmology | Oregon Eye Specialists, PC | 18345 Sw Alexander St, Suite A, Aloha, OR 97003-3960 |
| Nisha Nagarkatti-gude | Ophthalmology | Oregon Eye Specialists, PC | 18345 Sw Alexander St, Suite A, Aloha, OR 97003-3960 |
| Devin M Gattey | Ophthalmology | Oregon Eye Specialists, PC | 18345 Sw Alexander St, Suite A, Aloha, OR 97003-3960 |
| Robert Hugh Brumley | Optometry | Oregon Eye Specialists, PC | 18345 Sw Alexander St, Suite A, Aloha, OR 97003-3960 |
| Susan Tobey Denman | Dermatology | 18345 Sw Alexander St, Suite B, Aloha, OR 97003-3960 | |
| Anthony B Bouneff | Oral Surgery | Beaverton Oral Surgeons Equipment LLC | 3925 Sw 153rd Dr, Suite 100, Beaverton, OR 97003-4168 |
| Jennifer L Cannon | Physical Therapy | Therapydia, Inc | 3925 Sw 153rd Dr, Suite 210, Beaverton, OR 97003-4176 |
| Kimberly P Mineo | Physical Therapy | Therapydia, Inc | 3925 Sw 153rd Dr, Suite 210, Beaverton, OR 97003-4176 |
| Find all physicians in zip 97003 | |||
| City | BEAVERTON |
| Zip Code | 97003 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | BEAVERTON + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Ezra Azhar.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.