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Contact Information

LIDIYA BOGDAN, LD
4637 SE 128TH AVE
PORTLAND, OR97236-3713
 Phone: 971-285-0987
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Denturist

122400000X
Indicates primary specialty

NPI Profile & details for LIDIYA BOGDAN · (Female)

NPI # 1528435237
Status Active
Credentials LD
Entity Individual
Enumeration date 08/28/2015
Last updated 08/28/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OR License # DT-DO-10169937
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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