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Individual

ABDI YAMIL VICENCIODELMORAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10230 SE CHERRY BLOSSOM DR, PORTLAND, OR 97216-2821
(503) 535-1151
Mailing address
1650 NE KILLINGSWORTH ST APT 403, PORTLAND, OR 97211-4992
(210) 253-0488

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
26-CRM-5614
OR

Other

Enumeration date
08/10/2026
Last updated
08/10/2026
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