Provider Demographics
NPI:1114784550
Name:LAZARESCU, MARIA RUXANDRA (MA)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:RUXANDRA
Last Name:LAZARESCU
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9316 SW 55TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-5020
Mailing Address - Country:US
Mailing Address - Phone:503-382-9088
Mailing Address - Fax:
Practice Address - Street 1:333 SW TAYLOR ST STE 200
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97204-2446
Practice Address - Country:US
Practice Address - Phone:503-446-2500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program