NPI 1144089830

Makhammad Makaridze

Practitioner Driver Beaverton, OR

Practice location

Address: 16887 SW Snowdale St, Beaverton, OR 97007-2019
Phone: (971) 268-1900

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence A225005 (OR)

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Registry record

NPI: 1144089830
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Mar 2024
Record last updated: 15 Mar 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.