Provider Demographics
NPI:1659307932
Name:ZAPODEANU, ADINA NELA (OD, FAAO)
Entity Type:Individual
Prefix:DR
First Name:ADINA
Middle Name:NELA
Last Name:ZAPODEANU
Suffix:
Gender:F
Credentials:OD, FAAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 325
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:OR
Mailing Address - Zip Code:97140-0325
Mailing Address - Country:US
Mailing Address - Phone:503-625-2727
Mailing Address - Fax:503-625-2929
Practice Address - Street 1:20407 SW BORCHERS DR
Practice Address - Street 2:SUITE 202
Practice Address - City:SHERWOOD
Practice Address - State:OR
Practice Address - Zip Code:97140-8760
Practice Address - Country:US
Practice Address - Phone:503-625-2727
Practice Address - Fax:503-625-2929
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3152 ATI152W00000X
OK2475152W00000X
WA4096152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR241823Medicaid