Individual
FAYSAL IBRAHIM HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9413 NE PRESCOTT ST, PORTLAND, OR 97220-3543
(971) 421-6460
Mailing address
2110 SE 82ND AVE, PORTLAND, OR 97216-1410
(971) 254-8916
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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