Individual
MR. JEMAL BELDA ABDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2624 SE 85TH AVE, PORTLAND, OR 97266-1508
(503) 358-7485
Mailing address
2624 SE 85TH AVE, PORTLAND, OR 97266-1508
(503) 358-7485
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
9787594
OR
Other
Enumeration date
03/02/2019
Last updated
03/02/2019
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