Individual
FARTUN ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 NE 20TH AVE STE 320, PORTLAND, OR 97232-2275
(971) 295-6135
Mailing address
825 NE 20TH AVE STE 320, PORTLAND, OR 97232-2275
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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