Provider Demographics
NPI:1538523063
Name:MAZUR-HART, DAVID (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:MAZUR-HART
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CENTER FOR HEALTH & HEALING, CH8N
Mailing Address - Street 2:3303 S BOND AVENUE
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-4501
Mailing Address - Country:US
Mailing Address - Phone:503-494-4314
Mailing Address - Fax:
Practice Address - Street 1:7TH AVENUE MEDICAL PLAZA
Practice Address - Street 2:333 SE 7TH AVE., SUITE 4350
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4172
Practice Address - Country:US
Practice Address - Phone:503-844-8220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA186041207T00000X
ORMD219306207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery