Ezra Azhar, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD14162 Issued in OR

Practice address

3415 SW 187TH Ave
Beaverton, OR 97006-3106

Phone

(503) 649-5509

Fax

(503) 649-7876

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619980125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 SW 187TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970063106",
            "telephone_number": "503-649-5509",
            "fax_number": "503-649-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 SW 187TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970063106",
            "telephone_number": "503-649-5509",
            "fax_number": "503-649-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZHAR",
        "first_name": "EZRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD14162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104604",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn E Ayers, MSW
• Valerie Ayers, MEDICAL ASSISTANT
• Tricia Ayotte, LMT
• Rimina Azad
• Mahvash Azadegan, LMFT
• Christine A Babinec, MA, LPC, NCC
• Tyler Baca
• Vanessa Baccellieri
• Back in Motion Sports Injuries Clinic, LLC
• Serita Backstrand, PSY.D

• Family Medicine Physician in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.