Yama A Dehqanzada Dpm Pc

NPI 1215122833 - Clinic/Center - 261QP1100X

NPI Details
NPI 1215122833
Enumeration Date 09/06/2007
Last Updated 09/06/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name YAMA AHMAD YAMA
Position CEO/PRESIDENT
Phone (503) 925-8120
Fax (503) 925-8121
Practice Location
16770 SW EDY RD
SUITE 216
SHERWOOD OR, 97140-9678, US
Phone (503) 925-8120
Fax (503) 925-8121
Business Location
16770 SW EDY RD
SUITE 216
SHERWOOD OR, 97140-9678, US
Phone (503) 925-8120
Fax (503) 925-8121
Toxanomy
Taxonomy Code 261QP1100X
License State Oregon
License Number DP00348
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According to our database, Yama A Dehqanzada Dpm Pc NPI is 1215122833, taxonomy code is 261QP1100X and license number is DP00348, license state is located at Oregon. Yama A Dehqanzada Dpm Pc physically located at 16770 Sw Edy Rd, Sherwood OR, 97140-9678. NPI Number 1033115704 has the healthcare provider type.

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1215122833 NPI number is provided on an as is basis without warranty of any kind. 1215122833 is maintained by the National Plan & Provider Enumeration System. The contents of Yama A Dehqanzada Dpm Pc are for informational purposes only.