Active NPIIndividual providerSole proprietor

Maryan Abdulkadir

Nurse Practitioner in Portland, Oregon

NPI Number1295447654
Practice location
12710 SE Division St, Portland, OR 97236-3134
Fax
—
Last updated
October 1, 2025

Maryan Abdulkadir is a Nurse Practitioner based in Portland, OR. Maryan Abdulkadir practices in Portland, OR. The NPI Number for Maryan Abdulkadir is 1295447654 and holds a License No. 10050196 (OR). The current practice location address for Maryan Abdulkadir is 12710 SE Division St, Portland, OR 97236-3134 and can be reached out via phone at 503-988-5558.

Provider Profile Details

NPI Number
1295447654
Provider Name
Maryan Abdulkadir
Provider Entity Type
Individual
Gender
Female
Address
12710 SE Division St, Portland, OR 97236-3134
Phone Number
503-988-5558
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 16, 2022
Last Update Date
October 1, 2025
Certification Date
October 1, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
12710 SE Division St
Portland, OR 97236-3134
State
Oregon
Zip
97236-3134
Phone Number
503-988-5558
Portland, OR 97236Get directions →

Provider Business Mailing Address Details

Address
12710 SE Division St
Portland, OR 97236-3134
City
Portland
State
OR
Zip
97236-3134
Phone Number
503-988-5558

License Information

License Number
10050196
License State
OR
Taxonomy
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Maryan Abdulkadir?

The NPI number of Maryan Abdulkadir is 1295447654. It was assigned on December 16, 2022 and is currently active in the NPPES registry.

What is the specialty of Maryan Abdulkadir?

Maryan Abdulkadir is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in OR under license number 10050196.

Where does Maryan Abdulkadir practice?

The practice location is 12710 SE Division St, Portland, OR 97236-3134. The office can be reached at 503-988-5558 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295447654 directly on the NPPES registry website.

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