Provider Demographics
NPI:1831404193
Name:SHAIKH, FARAZ (PHARMD)
Entity type:Individual
Prefix:DR
First Name:FARAZ
Middle Name:
Last Name:SHAIKH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16200 NE GLISAN ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97230-5833
Mailing Address - Country:US
Mailing Address - Phone:503-251-8995
Mailing Address - Fax:503-251-0253
Practice Address - Street 1:16200 NE GLISAN ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97230-5833
Practice Address - Country:US
Practice Address - Phone:503-251-8995
Practice Address - Fax:503-251-0253
Is Sole Proprietor?:No
Enumeration Date:2010-08-11
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0010027183500000X
RIRPH04349183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist