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NPI 1841072204

IndividualActive

Yisak Dechaso

NPI 1841072204 · Driver · Gresham, OR

Provider details

NPI number: 1841072204
Entity type: Individual
Primary specialty: DriverOther Service Providers
Sex: Male
Sole proprietor: Yes
License: C539006 (OR)

Practice location

21541 Se Alder St

Gresham, OR 97030-2417

Phone: (971) 255-7673

More OR providers

Mailing address

21541 Se Alder St

Gresham, OR 97030-2417

Registry dates

Enumerated: 2023-10-19
Last updated: 2023-10-19

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

Yisak Dechaso — NPI 1841072204, Gresham, OR | NPI Central