Individual provider · NPI-1

Abdirahman Abdirahman

Case Manager/Care Coordinator · Portland, OR

NPI number1255226544
StatusActive
Last updated in NPPESJun 9, 2025

Details

NPI
1255226544
Entity type
Individual (NPI-1)
Name
Abdirahman Abdirahman
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 9, 2025
Certification date
Jun 9, 2025
Last updated
Jun 9, 2025

Taxonomy and licenses

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

Practice location

10706 Sw Capitol Hwy Apt 62
Portland, OR 97219-6880

Phone 503-481-3565

Mailing address

10706 Sw Capitol Hwy
Portland, OR 97219-6871

Phone 503-481-3565

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