Individual
ZUBAIDA ABDULAI MACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3863 SW HALL BLVD STE B, BEAVERTON, OR 97005-2042
(503) 519-9810
(703) 977-3863
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201700299NP-PP
OR
363LF0000X
Family Nurse Practitioner
201700299
OR
363LF0000X
Family Nurse Practitioner
Primary
201700299NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500723390
—
OR
Enumeration date
01/29/2017
Last updated
03/10/2023
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