Individual
YAMA AHMAD DEHQANZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
9900 SW HALL BLVD, SUITE 100, TIGARD, OR 97223-5843
(503) 245-2420
(503) 245-2445
Mailing address
9900 SW HALL BLVD, SUITE 100, TIGARD, OR 97223-5843
(503) 245-2420
(503) 245-2445
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP00348
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
181413
OMAP NUMBER
OR
Enumeration date
08/02/2006
Last updated
09/27/2011
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