Mohamed Noor Ali
In Home Supportive Care in Portland, OR. Individual provider (NPI-1).
NPI number1053183475
StatusActive
Last updated in NPPESOct 30, 2023
Details
- NPI
- 1053183475
- Entity type
- Individual (NPI-1)
- Name
- Mohamed Noor Ali
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 30, 2023
- Certification date
- Oct 28, 2023
- Last updated
- Oct 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
12415 Ne Glisan StPortland, OR 97230-2144
Phone 971-244-5838 · Fax 971-200-5766
Mailing address
15710 Se Stark St Apt 14Portland, OR 97233-3551
Phone 971-331-9024 · Fax 971-200-5766
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