Individual
LADAN SHAIR MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2110 SE 82ND AVE, PORTLAND, OR 97216-1410
(971) 254-8916
(503) 894-8739
Mailing address
2110 SE 82ND AVE, PORTLAND, OR 97216-1410
(971) 254-8916
(503) 894-8739
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.521539
OH
164W00000X
Licensed Practical Nurse
Primary
NC60670046
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MOHAMLS139BA
—
WA
Enumeration date
02/09/2018
Last updated
03/02/2026
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