Individual
AHMED IYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN BSN
Contact information
Practice address
2829 SE RHONE ST APT 204, PORTLAND, OR 97202-3094
(503) 944-9313
Mailing address
PO BOX 86660, PORTLAND, OR 97286-0660
(503) 944-9313
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201608041RN
OR
Other
Enumeration date
01/14/2017
Last updated
01/14/2017
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