- Practice location
- 11035 NE Sandy Blvd, Portland, OR 97220-2553
- Phone
- 503-258-4690
- Fax
- —
- Last updated
- January 15, 2019
Marissa Autumn Abdallah is a Case Manager/Care Coordinator based in Portland, OR. Marissa Autumn Abdallah practices in Portland, OR. The NPI Number for Marissa Autumn Abdallah is 1679047575. The current practice location address for Marissa Autumn Abdallah is 11035 NE Sandy Blvd, Portland, OR 97220-2553 and can be reached out via phone at 503-258-4690.
Provider Profile Details
- NPI Number
- 1679047575
- Provider Name
- Marissa Autumn Abdallah
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 11035 NE Sandy Blvd, Portland, OR 97220-2553
- Phone Number
- 503-258-4690
- Primary Taxonomy
- Case Manager/Care Coordinator · 171M00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 15, 2019
- Last Update Date
- January 15, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11035 NE Sandy Blvd
Portland, OR 97220-2553 - City
- Portland
- State
- Oregon
- Zip
- 97220-2553
- Phone Number
- 503-258-4690
Provider Business Mailing Address Details
- Address
- 11035 NE Sandy Blvd
Portland, OR 97220-2553 - City
- Portland
- State
- OR
- Zip
- 97220-2553
- Phone Number
- 503-258-4690
License Information
- License State
- OR
- Taxonomy
- Case Manager/Care Coordinator · 171M00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Marissa A Abdallah?
The NPI number of Marissa A Abdallah is 1679047575. It was assigned on January 15, 2019 and is currently active in the NPPES registry.
What is the specialty of Marissa A Abdallah?
Marissa A Abdallah is registered under the primary taxonomy Case Manager/Care Coordinator (code 171M00000X).
Where does Marissa A Abdallah practice?
The practice location is 11035 NE Sandy Blvd, Portland, OR 97220-2553. The office can be reached at 503-258-4690 (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 1679047575 directly on the NPPES registry website.