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Individual

SABRENA AHMADI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7772
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7772

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
02007308A
IN
2084N0400X
Neurology Physician
20A19653
CA
2084N0400X
Neurology Physician
Primary
DO218865
OR
2084V0102X
Vascular Neurology Physician
20A19653
CA

Other

Enumeration date
09/16/2016
Last updated
04/05/2024
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