Individual
MOHAMMED ALIY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1540 SW 204TH AVE, BEAVERTON, OR 97003-2067
(702) 629-0784
Mailing address
1540 SW 204TH AVE, BEAVERTON, OR 97003-2067
(702) 629-0784
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN202209766RN
OR
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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