Individual provider · NPI-1

Soad Nur Abdi

Case Manager/Care Coordinator · Portland, OR

NPI number1174164164
StatusActive
Last updated in NPPESJun 14, 2022

Details

NPI
1174164164
Entity type
Individual (NPI-1)
Name
Soad Nur Abdi
Sex
Female
Sole proprietor
No
Enumeration date
Oct 1, 2019
Certification date
Jun 14, 2022
Last updated
Jun 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

209 Sw 4th Ave
Portland, OR 97204-1813

Phone 503-231-2629

Mailing address

12212 Se Ramona St
Portland, OR 97236-4660

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