Provider Demographics
NPI:1679873160
Name:ZAFAR, SHAZIA
Entity Type:Individual
Prefix:
First Name:SHAZIA
Middle Name:
Last Name:ZAFAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHAZIA
Other - Middle Name:
Other - Last Name:ZAFAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:20685 SW ROY ROGERS RD
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:OR
Mailing Address - Zip Code:97140-9278
Mailing Address - Country:US
Mailing Address - Phone:503-625-4766
Mailing Address - Fax:503-625-4768
Practice Address - Street 1:20685 SW ROY ROGERS RD
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:OR
Practice Address - Zip Code:97140-9278
Practice Address - Country:US
Practice Address - Phone:503-625-4766
Practice Address - Fax:503-625-4768
Is Sole Proprietor?:No
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10120183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist