Individual
CHANDANA YAKKALURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11977 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9312
(503) 486-6944
Mailing address
14792 NW SHACKELFORD RD, PORTLAND, OR 97229-6900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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