Individual
HABIBA IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
488 WERTH BLVD, NEWBERG, OR 97132
(503) 554-2521
Mailing address
20421 SW GRACIE ST, BEAVERTON, OR 97006-1728
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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