Individual
ROSIE BARDAKJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 E HANCOCK ST, NEWBERG, OR 97132-2822
(503) 554-0661
Mailing address
1025 W MAIN ST APT 11, HILLSBORO, OR 97123-3701
(971) 217-5607
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20229
OR
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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