NPI 1033934476

Lidya Yifru

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Beaverton, OR

Practice location

Address: 4780 SW 166th Ave, Beaverton, OR 97078-1955
Phone: (206) 698-0382

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Oregon →

Community Health Worker

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Oregon →

Registry record

NPI: 1033934476
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Nov 2024
Record last updated: 20 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.