Individual provider · NPI-1

Mohammad Malin Abdulaziz

Case Manager/Care Coordinator · Portland, OR

NPI number1952138992
StatusActive
Last updated in NPPESSep 16, 2024

Details

NPI
1952138992
Entity type
Individual (NPI-1)
Name
Mohammad Malin Abdulaziz
Sex
Male
Sole proprietor
No
Enumeration date
Sep 16, 2024
Certification date
Sep 15, 2024
Last updated
Sep 16, 2024

Taxonomy and licenses

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

Practice location

13317 Se Powell Blvd
Portland, OR 97236-3335

Phone 503-763-9606

Mailing address

Po Box 8459
Portland, OR 97207-8459

Phone 503-238-0769

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