Healthcare Provider Details

I. General information

NPI: 1679873160
Provider Name (Legal Business Name): SHAZIA ZAFAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHAZIA ZAFAR RPH

II. Dates (important events)

Enumeration Date: 10/29/2010
Last Update Date: 04/26/2025
Certification Date: 04/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20685 SW ROY ROGERS RD
SHERWOOD OR
97140-9278
US

IV. Provider business mailing address

7555 SW BARBUR BLVD
PORTLAND OR
97219-3090
US

V. Phone/Fax

Practice location:
  • Phone: 503-625-4766
  • Fax: 503-625-4768
Mailing address:
  • Phone: 503-523-0334
  • Fax: 503-452-3027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10120
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH-0010120
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: