Individual provider · Type 1 NPI

Sophia Grace Dahlstrom

Student in an Organized Health Care Education/Training Program · Tigard, OR

NPI number 1730011248 Active

Practice location

8770 SW Scoffins St
Tigard, OR 97223-6226

Call (503) 684-1424 Map

Mailing address

622 Clara Ct
Lake Oswego, OR 97034-5917

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730011248

Sophia Grace Dahlstrom's National Provider Identifier is 1730011248, issued on May 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tigard, OR. The record was last updated on May 30, 2026.