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1942062013
ZACHARIA AHMED OMAR
PORTLAND, OR
NPI
1942062013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-01-25
Last Update Date
2024-01-25
Business Address
ZACHARIA AHMED OMAR
17469 SE MAIN ST
PORTLAND, OR 97233-4649
Phone number: 320-437-0777
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Mailing Address
ZACHARIA AHMED OMAR
17469 SE MAIN ST
PORTLAND, OR 97233-4649
Phone number: 320-437-0777
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