Dr Robert J Azar, MD | |
25050 Se Stark St Ste 265, Gresham, OR 97030-3388 | |
(503) 674-1520 | |
(503) 674-1599 |
Full Name | Dr Robert J Azar |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 32 Years |
Location | 25050 Se Stark St Ste 265, Gresham, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255316857 | NPI | - | NPPES |
P00965924 | Other | OR | RR MEDICARE - PROVIDENCE |
151335 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | MD18386 (Oregon) | Secondary |
208C00000X | Colon & Rectal Surgery | MD18386 (Oregon) | Secondary |
208600000X | Surgery | MD18386 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Mount Hood Medical Center | Gresham, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Clinics Llc | 0244144004 | 633 |
Entity Name | Legacy Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert J Azar, MD Po Box 3777, Portland, OR 97208-3777 Ph: (503) 413-3900 | Dr Robert J Azar, MD 25050 Se Stark St Ste 265, Gresham, OR 97030-3388 Ph: (503) 674-1520 |
Dr. Mary K Barnhart, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 831 Nw Council Dr, Suite 301, Gresham, OR 97030 Phone: 503-661-9700 Fax: 503-661-9800 | |
Dr. Stephen K. Choong, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 501 Ne Hood Ave, Suite 205, Gresham, OR 97030 Phone: 503-661-6765 Fax: 503-661-6789 | |
Dr. Jennifer Louise Zakhireh, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 25050 Se Stark St, Gresham, OR 97030 Phone: 503-674-1848 | |
Luai Zarour, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 25050 Se Stark St Ste 265, Gresham, OR 97030 Phone: 503-674-1520 Fax: 503-674-1599 | |
Vernon L Cowell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 25500 Se Stark St Ste 101, Gresham, OR 97030 Phone: 503-667-4000 Fax: 360-254-3719 |