Yisak Yoseph Dechaso

NPI #1841072204 in Gresham, Oregon

Provider Information

NPI Number: 1841072204
Entity Type: Individual
Name: Yisak Yoseph Dechaso
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Oct 19, 2023
Last Updated: Oct 19, 2023

Practice Location

Address: 21541 SE ALDER ST
City: Gresham
State: Oregon
ZIP Code: 97030-2417
Phone: (971) 255-7673

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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