IndividualActive
Yakov Baghdanov
NPI 1215314034 · Driver · Beaverton, OR
Provider details
- NPI number
- 1215314034
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5651047 (OR)
Practice location
754 Nw Fieldcrest Way Apt Q307
Beaverton, OR 97006-7741
Phone: (503) 961-3056
Mailing address
754 Nw Fieldcrest Way Apt Q307
Beaverton, OR 97006-7741
Registry dates
- Enumerated
- 2015-04-30
- Last updated
- 2015-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.