Individual
CHIDIMMA UCHE ABANULO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5289 NE ELAM YOUNG PKWY STE 150, HILLSBORO, OR 97124-7551
(971) 353-4925
(971) 353-4926
Mailing address
14852 NW DEERFOOT LN, PORTLAND, OR 97229-1552
(404) 394-0493
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD187711
OR
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
MD187711
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500752674
—
OR
Enumeration date
06/28/2010
Last updated
07/27/2024
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