Provider Demographics
NPI:1710694583
Name:BARKHAS, SODNOMDARJAA
Entity Type:Individual
Prefix:
First Name:SODNOMDARJAA
Middle Name:
Last Name:BARKHAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:SODNOMDARJAA
Other - Middle Name:
Other - Last Name:BARKHAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1200 HILYARD ST STE 570
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-8168
Mailing Address - Country:US
Mailing Address - Phone:458-205-7070
Mailing Address - Fax:458-205-7089
Practice Address - Street 1:1200 HILYARD ST STE 570
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-8168
Practice Address - Country:US
Practice Address - Phone:458-205-7070
Practice Address - Fax:458-205-7089
Is Sole Proprietor?:No
Enumeration Date:2022-11-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health