Razavi, Christopher
Razavi, Christopher is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is his primary health care specialty. Razavi, Christopher can be contacted via phone (503) 494-8510.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd
Portland OR 97239-3011
Phone: (503) 494-8510
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 1861809097 | Maryland |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 1861809097 | Maryland |
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | MD209425 | Oregon |
Profile Details
| NPI number | 1861809097 |
|---|---|
| LBN Legal business name | Razavi, Christopher |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2014 |
| Last updated | Jul 1st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861809097 | NPPES |
| Maryland | MEDICAID | 1861809097 |
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