Search › Oregon › 171100000X
Sandra Taddesse, L.A.C
NPI 1285761585 · on the registry since 2007 · sole proprietor
Practice
- Address
- 506 Ne 49th Ave
Portland, OR 97292 - Phone
- (503) 232-2500
- Fax
- (503) 232-2700
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 225700000X
171100000X - Licence states on file
- OR, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-11-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon