institution
Yama A Dehqanzada Dpm Pc
Podiatric Clinic/Center in Sherwood, Oregon
NPI 1215122833

Yama A Dehqanzada Dpm Pc is a Podiatric Clinic/Center based in Sherwood, OR and is specialized in Podiatric. Yama A Dehqanzada Dpm Pc practices in Sherwood, OR. The NPI Number for Yama A Dehqanzada Dpm Pc is 1215122833 and holds a License No. DP00348 (Oregon).

The current practice location address for Yama A Dehqanzada Dpm Pc is 16770 Sw Edy Rd, Sherwood, OR and can be reached out via phone at 503-925-8120 and via fax at 503-925-8121.

Location: 16770 Sw Edy Rd, Sherwood, OR, 97140-9678
institution
Provider Profile Details
NPI Number
1215122833
Provider Name
Yama A Dehqanzada Dpm Pc
Credential
Provider Entity Type
Organization
Address
16770 Sw Edy Rd, Sherwood, OR, 97140-9678
Phone Number
503-925-8120
Fax Number
503-925-8121
Provider Enumeration Date
09/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1154338275 01 OR INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
16770 Sw Edy Rd
City
State
Zip
97140-9678
Phone Number
503-925-8120
Fax Number
503-925-8121
person
Provider Business Mailing Address Details
Address
16770 Sw Edy Rd
City
State
Zip
97140-9678
Phone Number
503-925-8120
Fax Number
503-925-8121
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
License No.
DP00348 (Oregon)
Definition
Definition to come...
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