Sudaisar, Scott Desi

Sudaisar, Scott Desi is an sole proprietor health care provider with primary practice located at 22350 Sw Pine St , Sherwood OR 97140-9075. He recently has only one registered license in Other Service Providers / Prevention Professional, which is considered as his primary health care specialty. Sudaisar, Scott Desi can be contacted via phone (503) 349-5828.

Contact Information

Primary practice address
22350 Sw Pine St Sherwood OR 97140-9075
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prevention Professional 405300000X 083697 Oregon

Profile Details

NPI number 1649955980
LBN Legal business name Sudaisar, Scott Desi
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2023
Last updated Jun 15th, 2023 - about last year

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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