Individual
ASEM ALQUDAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4730 SW LURADEL ST APT 6, PORTLAND, OR 97219-6841
(971) 533-0307
Mailing address
4730 SW LURADEL ST APT 6, PORTLAND, OR 97219-6841
(971) 533-0307
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
FE160154
OR
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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