Individual
SUCDI AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 SW 4TH AVE STE 520, PORTLAND, OR 97204-1825
(971) 442-1081
Mailing address
209 SW 4TH AVE STE 520, PORTLAND, OR 97204-1825
(971) 442-1081
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
23-QMHA-R-4512
OR
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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