Odarich, Tetyana O

Odarich, Tetyana O is an individual health care provider with primary practice located at 9300 Se 91St Ave Ste 201 , Happy Valley OR 97086-3762. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Odarich, Tetyana O can be contacted via phone (503) 387-7111.

Contact Information

Primary practice address
9300 Se 91St Ave Ste 201 Happy Valley OR 97086-3762
Phone: (503) 387-7111
Fax: (503) 576-7706
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD182578 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ML60163177 Washington

Profile Details

NPI number 1437460193
LBN Legal business name Odarich, Tetyana O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2010
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437460193 NPPES
Washington MEDICAID 2020971

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