AZADEH REZVAN M.D. NPI 1508022781

NPI Information

  • NPI: 1508022781
  • Provider Name: AZADEH REZVAN, M.D.
  • Classification: Obstetrics & Gynecology - 207VF0040X
  • Specialization: Urogynecology and Reconstructive Pelvic Surgery
  • Entity Type: Individual
  • Address: 10100 SE SUNNYSIDE RD
    MT TALERT MEDICAL OFFICE, DIVISION OF UROGYNECOLOGY
    CLACKAMAS, OR
    ZIP 97015
  • Phone: (503) 652-2880

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NPI Details

Azadeh Rezvan, M.D. is an urogynecology and reconstructive pelvic surgery in Clackamas, OR. The provider is a subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. Azadeh Rezvan, M.D. NPI is 1508022781. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10100 SE SUNNYSIDE RD
MT TALERT MEDICAL OFFICE, DIVISION OF UROGYNECOLOGY
CLACKAMAS, OR
ZIP 97015-970
Phone: (503) 652-2880

The enumeration date for this NPI number is 8/6/2008 and was last updated on 8/25/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic SurgeryMD171989OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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