Leesa M Azar in Lake Oswego - Internal Medicine
Leesa M Azar - NPI 1629012315
Leesa M Azar is a Internal Medicine in Lake Oswego, Oregon. Leesa M Azar practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Leesa M Azar is 1629012315. The last update date is 2021-06-16.
Leesa M Azar's current location address is 4035 Mercantile Dr, Lake Oswego, Oregon. You can contact this provider via phone number 5036973001 and fax number 5036970906. The mailing address for Leesa M Azar is 4035 Mercantile Dr, Lake Oswego, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leesa M Azar |
|---|---|
| Address | 4035 Mercantile Dr, Lake Oswego, Oregon |
| Phone Number | 5036973001 |
| Fax Number | 5036970906 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1629012315 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2021-06-16 |
Provider Mailing Address Detail
| Address | 4035 Mercantile Dr |
|---|---|
| City | Lake Oswego |
| State | Oregon (OR) |
| Post Code | 970352546 |
| Phone Number | 5036973001 |
| Fax Number | 5036970906 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | MD18772 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 66212 | OR | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Leesa M Azar by the Centers for Medicare & Medicaid Services?
The Leesa M Azar has been issued the NPI (National Provider Identifier) 1629012315. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Leesa M Azar's facilities are situated?
The facilities of Leesa M Azar are physically located at the following address: 4035 Mercantile Dr, Lake Oswego, OR, 970352546.
What is the Leesa M Azar's specialty and taxonomy code?
The Leesa M Azar's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did the Leesa M Azar receive its 1629012315 assignment from the Centers for Medicare & Medicaid Services?
The Leesa M Azar was assigned its 1629012315 by the Centers for Medicare & Medicaid Services on 2006-06-15.
As of what date was the information regarding Leesa M Azar, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Leesa M Azar, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-06-16.
NPI Number: 1336142389
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