Azar, Robert J

Azar, Robert J is an individual health care provider with primary practice located at 25050 Se Stark St Ste 265 , Gresham OR 97030-3388. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Azar, Robert J can be contacted via phone (503) 674-1520.

Contact Information

Primary practice address
25050 Se Stark St Ste 265 Gresham OR 97030-3388
Phone: (503) 674-1520
Fax: (503) 674-1599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD18386 Oregon
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MD18386 Oregon
Allopathic & Osteopathic Physicians / Surgery 208600000X MD18386 Oregon

Profile Details

NPI number 1255316857
LBN Legal business name Azar, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Sep 25th, 2019 - about 7 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 1255316857 NPPES
Oregon Other P00965924 RR MEDICARE - PROVIDENCE
Oregon MEDICAID 151335 RR MEDICARE - PROVIDENCE

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