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Scott Sudaisar — NPI 1649955980, Sherwood, OR | NPI Central

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NPI 1649955980

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Scott Sudaisar

NPI 1649955980 · Prevention Professional · Sherwood, OR

Provider details

NPI number: 1649955980
Entity type: Individual
Primary specialty: Prevention ProfessionalOther Service Providers
Sex: Male
Sole proprietor: Yes
License: 083697 (OR)

Specialties & taxonomies

Prevention ProfessionalPrimary405300000XLicense 083697 (OR)
Other Service Providers

Practice location

22350 Sw Pine St

Sherwood, OR 97140-9075

Phone: (503) 349-5828

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

Po Box 1238

Newberg, OR 97132-8238

Additional practice locations (1)

62910 O B Riley Rd Ste 301-B
Bend, OR 97703-8697
Phone: (503) 349-5828

Registry dates

Enumerated: 2023-06-15
Last updated: 2023-06-15
Certified: 2023-06-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.