Individual provider · NPI-1

Chidimma Uche Abanulo, M.D.

Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery · Hillsboro, OR

NPI number1386955037
StatusActive
Last updated in NPPESJul 27, 2024

Details

NPI
1386955037
Entity type
Individual (NPI-1)
Name
Chidimma Uche Abanulo
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 28, 2010
Certification date
Jul 27, 2024
Last updated
Jul 27, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic SurgeryMD187711ORYes
207V00000X Obstetrics & GynecologyMD187711OR

Other names

  • Chidimma Uche Eto (Former Name)

Practice location

5289 Ne Elam Young Pkwy Ste 150
Hillsboro, OR 97124-7551

Phone 971-353-4925 · Fax 971-353-4926

Mailing address

14852 Nw Deerfoot Ln
Portland, OR 97229-1552

Phone 404-394-0493

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