Individual
NOURA AL-KHADHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 SW 4TH AVE STE 520, PORTLAND, OR 97204-1825
(503) 988-4161
Mailing address
209 SW 4TH AVE STE 520, PORTLAND, OR 97204-1825
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
08/01/2018
Last updated
11/06/2020
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