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MARYAN ABDULKADIR

Individual Provider (NPI-1) Active

Nurse Practitioner

Provider Information

NPI Number
1295447654
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
12710 SE DIVISION ST, PORTLAND, OR, 972363134
Phone
(503) 988-5558

Specialties & Taxonomies

Nurse Practitioner Primary License: OR #10050196

All Addresses

MAILING

12710 SE DIVISION ST

PORTLAND, OR, 972363134

(503) 988-5558

LOCATION

12710 SE DIVISION ST

PORTLAND, OR, 972363134

(503) 988-5558