Individual
SACHIN DEV RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2730 S MOODY AVE, PORTLAND, OR 97201-5042
(503) 494-8867
Mailing address
1330 SW 3RD AVE APT 1003, PORTLAND, OR 97201-6637
(763) 501-3290
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
00000000000
OR
1223G0001X
General Practice Dentistry
Primary
D11615
OR
Other
Enumeration date
04/24/2022
Last updated
05/31/2022
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