Provider Demographics
NPI:1417465238
Name:UDER, ZORAYA
Entity Type:Individual
Prefix:
First Name:ZORAYA
Middle Name:
Last Name:UDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10235 SW BRYTON CT
Mailing Address - Street 2:
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-9531
Mailing Address - Country:US
Mailing Address - Phone:503-957-0589
Mailing Address - Fax:
Practice Address - Street 1:10235 SW BRYTON CT
Practice Address - Street 2:
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-9531
Practice Address - Country:US
Practice Address - Phone:503-957-0589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-15
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker