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Individual

AL ARABIA ISLAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
255 LANCASTER DR NE, SALEM, OR 97301-5155
(503) 576-8400
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-2395

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00917400
NJ
363A00000X
Physician Assistant
Primary
PA223922
OR

Other

Enumeration date
06/10/2025
Last updated
08/26/2025
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