Provider Demographics
NPI:1093071292
Name:ZAHARIADES, DIDI NICOLE (MA)
Entity Type:Individual
Prefix:
First Name:DIDI
Middle Name:NICOLE
Last Name:ZAHARIADES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 SE MORRISON ST STE 810
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-2348
Mailing Address - Country:US
Mailing Address - Phone:503-880-0400
Mailing Address - Fax:
Practice Address - Street 1:516 SE MORRISON ST STE 810
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-2348
Practice Address - Country:US
Practice Address - Phone:503-880-0400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor