Organization
WIICARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARHIYA OMAR (OWNER/CEO)
(480) 749-6942
Entity
Organization
Contact information
Practice address
2235 NE SANDY BLVD, PORTLAND, OR 97232-2859
(503) 773-5819
Mailing address
2235 NE SANDY BLVD, PORTLAND, OR 97232-2859
(503) 773-5819
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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