Azadeh Rezvan
Female Pelvic Medicine and Reconstructive Surgeon
10100 Se Sunnyside Rd Mt Talert Medical Office, Division Of Urogynecology
Clackamas
, Oregon 97015-8970
Azadeh Rezvan
Female Pelvic Medicine and Reconstructive Surgeon
10100 Se Sunnyside Rd Mt Talert Medical Office, Division Of Urogynecology
Clackamas
, Oregon 97015-8970
(503) 652-2880
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About
Features
Specialties
- Female Pelvic Medicine and Reconstructive Surgeon
Languages spoken
- English
Location
First Address
- Azadeh Rezvan
- 10100 Se Sunnyside Rd. Mt Talbert Medical Office, Department Of Ob/gyn, Division Of Urogynecology
- Clackamas, OR
- Zip : 97015
- Phone : (503) 652-2880
Second Address
- Azadeh Rezvan
- 10100 Se Sunnyside Rd Mt Talert Medical Office, Division Of Urogynecology
- Clackamas, OR
- Zip : 97015-8970
- Phone : (503) 652-2880
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD171989 | OR |
National Provider Identifier
| NPI | 1508022781 |
|---|---|
| Provider Name | Azadeh Rezvan |
| First Address | Clackamas, OR 97015 |
| Second Address | Clackamas, OR 97015-8970 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/08/2008 |
| Last Update Date | 25/08/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.