YAKOV BAGHDANOV
NPI 1215314034
Driver in Beaverton, OR
Active since April 30, 2015
About Yakov Baghdanov NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YAKOV BAGHDANOV (NPI 1215314034) is an individual driver provider in Beaverton, Oregon, licensed in Oregon (5651047) and active in the NPI registry since April 2015.
NPPES Registry Identity
NPI1215314034
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameYAKOV BAGHDANOV
Location Address754 NW FIELDCREST WAY APT Q307Beaverton, OR 97006-7741
Mailing Address754 Nw Fieldcrest Way Apt Q307Beaverton, OR 97006-7741 · (503) 961-3056
Phone(503) 961-3056
Sole ProprietorNo
Enumeration DateApril 30, 2015
✔ NPI 1215314034 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License✔ Licensed in OR · 5651047
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
754 NW FIELDCREST WAY APT Q307, Beaverton, OR 97006
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215314034, enumerated as an "individual" on April 30, 2015.
The provider is located at 754 NW FIELDCREST WAY APT Q307 BEAVERTON, OR 97006 and the phone number is (503) 961-3056.
Driver with taxonomy code 172A00000X.
