Individual
ALI TAREQ ASHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 878, PORTLAND, ME 04104-0878
(207) 939-8780
Mailing address
12 SPRUCE ST STE 5, AUGUSTA, ME 04330-5204
(207) 329-2838
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
31673
ME
Other
Enumeration date
05/13/2019
Last updated
04/30/2025
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