Individual
MOHAMED NOOR ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12415 NE GLISAN ST, PORTLAND, OR 97230-2144
(971) 244-5838
(971) 200-5766
Mailing address
15710 SE STARK ST APT 14, PORTLAND, OR 97233-3551
(971) 331-9024
(971) 200-5766
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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