Healthcare Provider Details

I. General information

NPI: 1982921607
Provider Name (Legal Business Name): NAVEEN SACHDEV MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2010
Last Update Date: 04/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9155 SW BARNES RD STE 417
PORTLAND OR
97225-6631
US

IV. Provider business mailing address

9155 SW BARNES RD STE 417
PORTLAND OR
97225-6631
US

V. Phone/Fax

Practice location:
  • Phone: 503-297-8640
  • Fax: 503-297-5715
Mailing address:
  • Phone: 503-297-8640
  • Fax: 503-297-5715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberMD14129
License Number StateOR

VIII. Authorized Official

Name: DR. NAVEEN SACHDEV
Title or Position: PROVIDER
Credential: MD
Phone: 503-297-8640