Individual
SUADO ABSHIR MADEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5109 SE 88TH AVE, PORTLAND, OR 97266-3816
(971) 601-8155
Mailing address
5109 SE 88TH AVE, PORTLAND, OR 97266-3816
(971) 601-8155
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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