Provider Demographics
NPI:1407023393
Name:KADAKIA, BIJANA DEVO (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:BIJANA
Middle Name:DEVO
Last Name:KADAKIA
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:MS
Other - First Name:BIJANA
Other - Middle Name:KAEL
Other - Last Name:DEVO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND, LAC
Mailing Address - Street 1:PO BOX 230095
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97281-0095
Mailing Address - Country:US
Mailing Address - Phone:503-987-3622
Mailing Address - Fax:503-987-3022
Practice Address - Street 1:12570 SW 69TH AVE STE 101
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-2552
Practice Address - Country:US
Practice Address - Phone:503-987-3622
Practice Address - Fax:503-987-3022
Is Sole Proprietor?:No
Enumeration Date:2008-05-11
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC150394171100000X
OR1603175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist