EZRA AZHAR (NPI# 1619980125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619980125 |
| Entity Type | Individual |
| Full Name | EZRA AZHAR |
| Credential | MD |
| Practice Address |
3415 Sw 187th Ave Beaverton OR 97006-3106 |
| Practice Telephone | 5036495509 |
| Practice Fax Number | 5036497876 |
| Mailing Telephone | 5036495509 |
| Mailing Fax Number | 5036497876 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD14162 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 104604 | 05 |
| Street Address |
3415 SW 187TH AVE |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97006-3106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
| 1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
| 1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
| 1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
| 1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
| 1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
| Find all providers in zip 97006 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041071 | Christina Cabelly | Family Medicine | 16305 Sw Loon Dr, Beaverton, OR 97007-8989 | 2020-10-23 |
| 1447614805 | Hillary Jenson | Family Medicine | 12345 Sw Horizon Blvd Ste 57a, Beaverton, OR 97007-9475 | 2016-04-11 |
| 1972999720 | Alexandra Werner | Family Medicine | 2725 Sw Cedar Hills Blvd Ste 2a, Beaverton, OR 97005-1344 | 2015-04-08 |
| 1952796468 | Lisa Kipersztok | Family Medicine | 2725 Sw Cedar Hills Blvd, Beaverton, OR 97005-1416 | 2015-04-01 |
| 1912349184 | Robin Sewall | Family Medicine | 17175 Sw Tualatin Valley Hwy Ste B2, Beaverton, OR 97003-4584 | 2013-07-29 |
| 1528224060 | David Barclay Luce | Family Medicine | 20229 Sw Tremont Way, Beaverton, OR 97007-8594 | 2008-08-04 |
| 1801052477 | Nishanie Bisorca | Family Medicine | 1960 Nw 167th Pl Ste 100, Beaverton, OR 97006-4805 | 2008-08-04 |
| 1336304138 | Sharon Rose Peterson | Family Medicine | 11200 Sw Murray Scholls Pl Ste 100, Beaverton, OR 97007 | 2008-07-22 |
| 1083628556 | Gerald Wendal Miller | Family Medicine | 1960 Nw 167th Place, Suite 103, Beaverton, OR 97006 | 2006-07-28 |
| 1902842081 | Robert Pentz Barlow | Family Medicine | 2725 Sw Cedar Hills Blvd Ste 250, Beaverton, OR 97005-1344 | 2006-06-20 |
| Find all providers in BEAVERTON | ||||
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| 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.