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 |
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Address | 9119 Nw Mckenna Dr, Portland, Oregon |
Phone Number | 5032976409 |
Fax Number | |
Sole Proprietor | X |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1699771956 |
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Provider Enumeration Date | 2005-06-22 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 9119 Nw Mckenna Dr |
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City | Portland |
State | Oregon (OR) |
Post Code | 972298039 |
Phone Number | 5032976409 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 2251P0200X |
Licence No | MD23313 |
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, |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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287394 | OR | -- |
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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.