MR. MOHAMED A ELBAZ (NPI# 1295079242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295079242 |
Entity Type | Individual |
Full Name | MR. MOHAMED A ELBAZ |
Credential | MS MB(ASCP) |
Practice Address |
13705 Ne Airport Way Portland OR 97230-1048 |
Mailing Address |
11503 Ne 32nd St Vancouver WA 98682-8723 |
Practice Telephone | 5034646467 |
Mailing Telephone | 5034646467 |
Enumeration Date | 2012-11-15 |
Last Update Date | 2012-11-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
1825 | OR | Technologists, Technicians & Other Technical Service Providers |
N | 246ZB0500X |
Specialist/Technologist, Other Specialization: Biochemist |
Technologists, Technicians & Other Technical Service Providers |
Street Address |
13705 NE AIRPORT WAY |
City | PORTLAND |
State | OR |
Zip Code | 97230-1048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336152735 | Edwin K Chinn | Pathology | 13705 Ne Airport Way, Suite C, Portland, OR 97230-1048 | 2006-08-15 |
1669822417 | Yu Li | Specialist/Technologist, Other | 13705 Ne Airport Way, Portland, OR 97230-1048 | 2016-06-13 |
1558484048 | Barbara Jean Armstrong | Pathology | 13705 Ne Airport Way, Portland, OR 97230-1048 | 2007-04-09 |
1477697894 | Neal Olson | Pathology | 13705 Ne Airport Way, Portland, OR 97230-1048 | 2007-02-18 |
1245382753 | Kaiser Foundation Health Plan of The Northwest | Clinical Medical Laboratory | 13705 Ne Airport Way, Portland, OR 97230-1048 | 2007-01-17 |
1417040387 | Susan Beth Guerin | Pathology | 13705 Ne Airport Way, Suite C, Portland, OR 97230-1048 | 2006-10-02 |
1912016973 | Robert Krum | Pathology | 13705 Ne Airport Way, Suite C, Portland, OR 97230-1048 | 2006-08-30 |
1730298670 | John Jones Thompson | Pathology | 13705 Ne Airport Way, Suite C, Portland, OR 97230-1048 | 2006-08-30 |
1114034436 | Rosario Emilia Salazar-collet | Physician Assistant | 13705 Ne Airport Way, Suite C, Portland, OR 97230-1048 | 2006-08-23 |
1407960834 | Mona Tarig Labar | Pathology | 13705 Ne Airport Way, Ste C, Portland, OR 97230-1048 | 2006-08-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932687233 | Timisha K Wilson | Social Worker | 12505 Ne Halsey St, Portland, OR 97230 | 2018-07-30 |
1356828768 | Sally Gail Logan | Pharmacist | 5725 Ne 138th Avenue, Portland, OR 97230 | 2018-07-27 |
1063937951 | Marley Elizabeth Small | Counselor | 1507 Ne 122nd Ave., Portland, OR 97230 | 2017-08-11 |
1447771316 | Shadab Nasreen Aijazi | Pathology | 5220 Ne 122nd Avenue, Portland, OR 97230 | 2017-06-30 |
1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
1750837597 | Providence Elderplace | Assisted Living Facility | 16430 Ne Hoyt St, Portland, OR 97230 | 2016-08-31 |
1649622473 | Sara Mcgroarty | Counselor | 17710 Ne Halsey Street, Portland, OR 97230 | 2016-07-05 |
1346699949 | Steven D Stanton | Counselor | 1022 Ne 181st Ave, C1, Portland, OR 97230 | 2016-06-06 |
1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
Find all providers in zip 97230 |
Taxonomy Code | 246QM0706X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Spec/Tech, Pathology |
Specialization | Medical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336766062 | Sarah E Johnson | Spec/Tech, Pathology | 619 Nw 6th Ave Fl 8, Portland, OR 97209-3964 | 2020-06-29 |
1710419734 | Lue Ann Mackenzie | Spec/Tech, Pathology | 5440 Ne Sandycrest Ter Apt 4, Portland, OR 97213-2651 | 2017-03-29 |
1710248877 | Miao T Wu | Spec/Tech, Pathology | 3710 Se U.S. Veterans Hospital Road, Portland, OR 97239 | 2012-06-06 |
1841808474 | Sizhe Yao | Spec/Tech, Pathology | 619 Nw 6th Ave Fl 8, Portland, OR 97209-3964 | 2020-07-20 |
1255953725 | Jeffrey Hieu Luong | Spec/Tech, Pathology | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2020-05-07 |
1982963534 | Gina Renee Mann | Spec/Tech, Pathology | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2012-05-16 |
1295871689 | Cynthia Lammers I | Spec/Tech, Pathology | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2007-01-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548490980 | James Michael Kinateder | Spec/Tech, Pathology | 2668 Nw Shantel St Apt 2, Roseburg, OR 97471-2976 | 2009-07-20 |
1619113222 | Wayne Emerald Lang | Spec/Tech, Pathology | 7550 Willis Creek Rd, Winston, OR 97496-5555 | 2009-01-02 |
1447416367 | Melanie Sicard Seaman | Spec/Tech, Pathology | 34 Aquinas St, Lake Oswego, OR 97035-1204 | 2008-07-30 |
1669595005 | Jenni Lynn Warner | Spec/Tech, Pathology | 5673 American Ave, Klamath Falls, OR 97603-9008 | 2007-04-09 |
1881670644 | Jeffrey Warren Hook | Spec/Tech, Pathology | 2185 Se 12th Pl, Warrenton, OR 97146-9311 | 2005-12-22 |
1457699407 | Sarah Heffner | Spec/Tech, Pathology | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2013-01-25 |
Please comment or provide details below to improve the information on MR. MOHAMED A ELBAZ.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.