MUSAH N IDDRISU

PORTLAND, OR
NPI1124627054
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OR  10017169)
Enumeration Date2020-10-21
Last Update Date2023-11-07
Business Address
MUSAH N IDDRISU RN
12710 SE DIVISION ST
PORTLAND, OR 97236-3134
Phone number: 503-988-3601
Mailing Address
MUSAH N IDDRISU RN
619 NW 6TH AVE FL 5
PORTLAND, OR 97209-3964
Phone number: 503-988-7468
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