Individual provider · NPI-1
Husameddin Rawhi El-Bakri, M.D.
Preventive Medicine, Occupational Medicine · Tigard, OR
NPI number1851660955
StatusActive
Last updated in NPPESJun 21, 2021
Details
- NPI
- 1851660955
- Entity type
- Individual (NPI-1)
- Name
- Husameddin Rawhi El-Bakri
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2011
- Certification date
- Jun 21, 2021
- Last updated
- Jun 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083X0100X | Preventive Medicine, Occupational Medicine | MD188949 | OR | Yes |
| 207Q00000X | Family Medicine | MD188949 | OR | |
| 207Q00000X | Family Medicine | 01047189A | IN |
Practice location
18040 Sw Lower Boones Ferry Rd Ste 100Tigard, OR 97224-7259
Phone 503-216-0624
Mailing address
Po Box 3158Portland, OR 97208-3158
Phone 503-215-6494 · Fax 765-741-0335
Other practice locations
205 N Tillotson Ave
Muncie, IN 47304-3900
Muncie, IN 47304-3900
Phone 765-288-1995 · Fax 765-289-7512
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