IndividualActive
Azadeh Rezvan, M.D.
NPI 1508022781 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Clackamas, OR
Provider details
- NPI number
- 1508022781
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- MD171989 (OR)
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040XLicense MD171989 (OR)
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
10100 Se Sunnyside Rd
Mt Talert Medical Office, Division of Urogynecology
Clackamas, OR 97015-8970
Phone: (503) 652-2880
Approximate (ZIP-level) locationGet directions
Mailing address
10100 Se Sunnyside Rd. Mt Talbert Medical Office,
Clackamas, OR 97015
Registry dates
- Enumerated
- 2008-08-06
- Last updated
- 2015-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.