Individual
SOAD NUR ABDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 SW 4TH AVE, PORTLAND, OR 97204-1813
(503) 231-2629
Mailing address
12212 SE RAMONA ST, PORTLAND, OR 97236-4660
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
OR
Enumeration date
10/01/2019
Last updated
06/14/2022
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