MEDICARE: FARIS ZUBAIR FAZAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1689521478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARIS ZUBAIR FAZAL

Provider Business Mailing Address
First Line	:	12650 SW BAILEY TRCE
Second Line	:
City	:	TIGARD
State	:	OR
Zip	:	97223-2113
Country	:	US
Telephone Number	:	503-327-9504
Fax Number	:

Provider Business Practice Location Address
First Line	:	12650 SW BAILEY TRCE
Second Line	:
City	:	TIGARD
State	:	OR
Zip	:	97223-2113
Country	:	US
Telephone Number	:	503-327-9504
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

Similar Medicare Providers

1114874997 — THE PSYCHOTHERAPY ASSOCIATES OF OREGON
Practice Location Address:

7440 SW HUNZIKER RD STE E
TIGARD, OR
97223-8237

Practice Phone: 503-694-9662
Practice Fax: 503-673-1085

1679423230 — UNA DRAKE LAC
Practice Location Address:

11740 SW 68TH PKWY STE 200
TIGARD, OR
97223-9058

Practice Phone: 971-365-3166
Practice Fax:

1144301557 — MRS. KELLY K JOHNSTON MS
Practice Location Address:

7455 SW BEVELAND RD
TIGARD, OR
97223-8610

Practice Phone: 503-624-2600
Practice Fax:

1003652736 — TYKERIA LORELLE COWART
Practice Location Address:

11740 SW 68TH PKWY STE 200
TIGARD, OR
97223-9058

Practice Phone: 478-230-4995
Practice Fax:

1407701840 — ALISSA CASTLE
Practice Location Address:

8915 SW CENTER ST
TIGARD, OR
97223-6307

Practice Phone: 503-726-3740
Practice Fax:

1588153837 — FLORENCE CRIPE
Practice Location Address:

7455 SW BEVELAND RD # 8610
TIGARD, OR
97223-8610

Practice Phone: 971-380-4101
Practice Fax:

Directions to “ FARIS ZUBAIR FAZAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.