Individual
CHIJIOKE NSOFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5441 S MACADAM AVE STE N, PORTLAND, OR 97239-3822
(469) 463-8490
Mailing address
5441 S MACADAM AVE STE N, PORTLAND, OR 97239-3822
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
872728
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10039558
OR
Other
Enumeration date
01/10/2020
Last updated
03/30/2026
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