Individual
BARIISAA KEDIR SULTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2110 SE 82ND AVE, PORTLAND, OR 97216-1410
(971) 254-8916
Mailing address
14021 E BURNSIDE ST, PORTLAND, OR 97233-2131
(503) 583-6204
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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