Individual
ABDI DAUD IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2110 SE 82ND AVE, PORTLAND, OR 97216-1410
(971) 254-8916
Mailing address
17366 NE HALSEY ST APT 116, PORTLAND, OR 97230-6173
(971) 340-6754
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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