Individual
TSHERING W SHERPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4353 SE 28TH PL, PORTLAND, OR 97202-3519
(503) 901-3241
Mailing address
4353 SE 28TH PL, PORTLAND, OR 97202-3519
(503) 901-3241
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
374700000X
Technician
—
—
Other
Enumeration date
06/25/2020
Last updated
04/01/2022
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