Scott Desi Sudaisar
Scott Desi Sudaisar is a Prevention Professional in Sherwood, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2023
Practice location Address checks out
22350 SW Pine StSherwood, OR 97140-9075
Phone: (503) 349-5828
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 62910 O B Riley Rd Ste 301-B, Bend, OR 97703-8697 — (503) 349-5828
Specialties & licences
| Prevention Professional (primary) | Taxonomy 405300000X · Licence 083697 (OR) |
|---|
Record details
| NPI number | 1649955980 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 15, 2023 |
| Last updated in NPPES | June 15, 2023 |
| Certification date | June 15, 2023 |
| Mailing address | Po Box 1238, Newberg, OR 97132-8238 |
Other providers in Sherwood
-
Sudaisar Polygraph & Forensic Assessments, LLC
22350 SW Pine St, Sherwood, OR 97140-9075 · (503) 349-5828