Search › Oregon › 172A00000X
Yisak Dechaso
NPI 1841072204 · on the registry since 2023 · sole proprietor
Practice
- Address
- 21541 Se Alder St
Gresham, OR 97030 - Phone
- (971) 255-7673
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-19
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