Yasodha R Gopal is a Pediatrics in Portland, Oregon. Yasodha R Gopal practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Yasodha R Gopal is 1699771956. The last update date is 2007-07-08.
Yasodha R Gopal's current location address is 9119 Nw Mckenna Dr, Portland, Oregon. You can contact this provider via phone number 5032976409. The mailing address for Yasodha R Gopal is 9119 Nw Mckenna Dr, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Yasodha R Gopal |
|---|---|
| Address | 9119 Nw Mckenna Dr, Portland, Oregon |
| Phone Number | 5032976409 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1699771956 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9119 Nw Mckenna Dr |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972298039 |
| Phone Number | 5032976409 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | MD23313 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 287394 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Yasodha R Gopal by the Centers for Medicare & Medicaid Services?
The Yasodha R Gopal has been assigned the NPI (National Provider Identifier) 1699771956. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Yasodha R Gopal located?
The Yasodha R Gopal is located at 9119 Nw Mckenna Dr, Portland, OR 972298039.
What is Yasodha R Gopal's area of expertise and its corresponding taxonomy classification?
The Yasodha R Gopal's field of specialization is Pediatrics, and it falls under the taxonomy code 2251P0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Yasodha R Gopal receive the assignment of its 1699771956 from the Centers for Medicare & Medicaid Services?
The Yasodha R Gopal was issued its 1699771956 by the Centers for Medicare & Medicaid Services on 2005-06-22.
When was the Yasodha R Gopal's information last updated?
The Yasodha R Gopal's information was last updated on 2007-07-08.