Provider Demographics
NPI:1952636037
Name:KARIM, AL-FAZIL
Entity Type:Individual
Prefix:MR
First Name:AL-FAZIL
Middle Name:
Last Name:KARIM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2516 19TH AVE
Mailing Address - Street 2:APT D
Mailing Address - City:FOREST GROVE
Mailing Address - State:OR
Mailing Address - Zip Code:97116-2783
Mailing Address - Country:US
Mailing Address - Phone:503-336-4828
Mailing Address - Fax:
Practice Address - Street 1:2516 19TH AVE
Practice Address - Street 2:APT D
Practice Address - City:FOREST GROVE
Practice Address - State:OR
Practice Address - Zip Code:97116-2783
Practice Address - Country:US
Practice Address - Phone:503-336-4828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-07
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program