Individual provider · NPI-1

Abdifatah Abdi

Social Worker · Portland, OR

NPI number1104756907
StatusActive
Last updated in NPPESMay 22, 2026

Details

NPI
1104756907
Entity type
Individual (NPI-1)
Name
Abdifatah Abdi
Sex
Male
Sole proprietor
Yes
Enumeration date
May 22, 2026
Certification date
May 21, 2026
Last updated
May 22, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes

Practice location

783 Se 185th Ave
Portland, OR 97233-3466

Phone 971-895-5648

Mailing address

783 Se 185th Ave Apt 168
Portland, OR 97233-3766

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