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Yasodha R Gopal, MD
Pediatric Physical Therapist in Portland, Oregon
NPI 1699771956

Yasodha R Gopal is a Pediatric Physical Therapist based in Portland, OR and is specialized in Pediatrics. Yasodha R Gopal practices in Portland, OR and has the professional credentials of MD. The NPI Number for Yasodha R Gopal is 1699771956 and holds a License No. MD23313 (Oregon).

The current practice location address for Yasodha R Gopal is 2525 Nw Lovejoy St, Portland, OR and can be reached out via phone at 503-227-0671 and via fax at 503-227-0676. You can also correspond with Yasodha R Gopal through the mailing address at 9119 NW MCKENNA DR, PORTLAND, OR - 97229-8039 (mailing address contact number: 503-297-6409).

Location: 2525 Nw Lovejoy St, Portland, OR, 97229-8039
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Provider Profile Details
NPI Number
1699771956
Provider Name
Yasodha R Gopal
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2525 Nw Lovejoy St, Portland, OR, 97229-8039
Phone Number
503-227-0671
Fax Number
503-227-0676
Provider Enumeration Date
06/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
287394 05 OR
institution
Provider Business Practice Location Address Details
Address
2525 Nw Lovejoy St
City
State
Zip
97210-2863
Phone Number
503-227-0671
Fax Number
503-227-0676
person
Provider Business Mailing Address Details
Address
9119 Nw Mckenna Dr
City
State
Zip
97229-8039
Phone Number
503-297-6409
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
License No.
MD23313 (Oregon)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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