Azar, Leesa M

Azar, Leesa M is an individual health care provider with primary practice located at 9450 Sw Barnes Rd Ste 100 , Portland OR 97225-6642. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Azar, Leesa M can be contacted via phone (503) 292-9560.

Contact Information

Primary practice address
9450 Sw Barnes Rd Ste 100 Portland OR 97225-6642
Fax: (503) 292-9510
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD18772 Oregon

Profile Details

NPI number 1629012315
LBN Legal business name Azar, Leesa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jun 16th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629012315 NPPES
Oregon MEDICAID 066212

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