Provider Demographics
NPI:1447460100
Name:DAWOODBHAI, FIROZ YUSUFALI (RPH)
Entity type:Individual
Prefix:MR
First Name:FIROZ
Middle Name:YUSUFALI
Last Name:DAWOODBHAI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:FIROZ
Other - Middle Name:
Other - Last Name:DAWOODBHAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:7865 SW 186TH AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-5683
Mailing Address - Country:US
Mailing Address - Phone:503-848-7864
Mailing Address - Fax:503-372-1972
Practice Address - Street 1:16100 SW 72ND AVE
Practice Address - Street 2:PAYLESS PHARMACY
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97224-7745
Practice Address - Country:US
Practice Address - Phone:503-372-1714
Practice Address - Fax:503-372-1972
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1157143183500000X
OR12527183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist