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Individual

SHARAD YADAV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9201 SE FOSTER RD, PORTLAND, OR 97266-4644
(971) 208-7130
Mailing address
9818 NE SKIDMORE ST, PORTLAND, OR 97220-3564
(208) 412-0421

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R10219
OR

Other

Enumeration date
04/21/2025
Last updated
04/21/2025
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