Azadeh Rezvan in Clackamas - Student In An Organized Health Care Education/training Program

Azadeh Rezvan - NPI 1508022781

Azadeh Rezvan is a Student In An Organized Health Care Education/training Program in Clackamas, Oregon. Azadeh Rezvan practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Azadeh Rezvan is 1508022781. The last update date is 2015-08-25.

Azadeh Rezvan's current location address is 10100 Se Sunnyside Rd. Mt Talbert Medical Office,, Clackamas, Oregon. You can contact this provider via phone number 5036522880. The mailing address for Azadeh Rezvan is 10100 Se Sunnyside Rd. Mt Talbert Medical Office,, Clackamas, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Azadeh Rezvan
Address 10100 Se Sunnyside Rd. Mt Talbert Medical Office,, Clackamas, Oregon
Phone Number 5036522880
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1508022781
Provider Enumeration Date 2008-08-06
Last Updated Date 2015-08-25

Provider Mailing Address Detail

Address 10100 Se Sunnyside Rd. Mt Talbert Medical Office,
City Clackamas
State Oregon (OR)
Post Code 97015
Phone Number 5036522880
Fax Number

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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FAQs about Azadeh Rezvan

What is the unique 10-digit identification code assigned to Azadeh Rezvan by the Centers for Medicare & Medicaid Services?

The Azadeh Rezvan has been issued the NPI (National Provider Identifier) 1508022781, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Azadeh Rezvan is physically located?

The Azadeh Rezvan is physically situated at the following address: 10100 Se Sunnyside Rd. Mt Talbert Medical Office,, Clackamas, OR, 97015.

What is Azadeh Rezvan's specialized field of practice, and what is the corresponding taxonomy classification code?

The Azadeh Rezvan's area of specialization is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code that categorizes this field of practice is 390200000X.

When was the Azadeh Rezvan's 1508022781 issued?

The Azadeh Rezvan's 1508022781 was issued on 2008-08-06.

As of what date was the information regarding Azadeh Rezvan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Azadeh Rezvan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-08-25.

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