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General NPI Number Information
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NPI Number | 1780797506
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Entity Type | Individual
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Provider Name | RAMINE YAZHARI MD
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Gender | Male
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 2801 N GANTENBEIN AVE
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City | PORTLAND
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State | OR
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Zip | 97227-1623
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Country | US
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Telephone | 503-413-4121
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Fax |
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Provider Business Mailing Address
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Address Line | 13898 NE 28TH ST STE A100
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City | VANCOUVER
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State | WA
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Zip | 98682-8841
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Country | US
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Telephone | 360-397-3352
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 00045113
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD23740
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License Number State | OR
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