Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080N0001X | Neonatal-Perinatal Doctor | DR.0043122 | CO |
N | 2080N0001X | Neonatal-Perinatal Doctor | MD00046069 | WA |
Y | 2080N0001X | Neonatal-Perinatal Doctor | MD26588 | OR |
NPI | 1124190657 |
---|---|
Provider Name | Dr. Aryan Azimi Zonooz |
First Address | Lake Oswego, OR 97035-1330 |
Second Address | Bend, OR 97701-6015 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 19/07/2021 |