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General NPI Number Information
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NPI Number | 1982033494
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Entity Type | Organization
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Legal Business Name | AMER J MIRZA, MD PC
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Dates
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Enumeration Date | 11/05/2013
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 4103 MERCANTILE DR
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-2556
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Country | US
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Telephone | 503-850-9940
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Fax | 503-850-6725
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Provider Business Mailing Address
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Address Line | 4103 MERCANTILE DR
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-2556
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Country | US
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Telephone | 503-850-9940
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Fax | 503-850-6725
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Authorized Official
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Title or Position | PHYSICIAN
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Name | AMER J MIRZA
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Credential | MD
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Telephone | 503-850-9940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD27789
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License Number State | OR
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