Individual
ZACHARIA AHMED OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17469 SE MAIN ST, PORTLAND, OR 97233-4649
(320) 437-0777
Mailing address
17469 SE MAIN ST, PORTLAND, OR 97233-4649
(320) 437-0777
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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