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Abdurakhmon Radzhabov
Adult Care Home Facility in Lake Oswego, Oregon
NPI 1740971878

Abdurakhmon Radzhabov is an Adult Care Home Facility based in Lake Oswego, OR and is specialized in Adult Care Home. Abdurakhmon Radzhabov practices in Lake Oswego, OR. The NPI Number for Abdurakhmon Radzhabov is 1740971878 and holds a License No. 519252 (Oregon).

The current practice location address for Abdurakhmon Radzhabov is 16940 Tracy Ave, Lake Oswego, OR and can be reached out via phone at 551-258-7270.

Location: 16940 Tracy Ave, Lake Oswego, OR, 97035-4558
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740971878
Provider Name
Abdurakhmon Radzhabov
Credential
Provider Entity Type
Individual
Gender
Male
Address
16940 Tracy Ave, Lake Oswego, OR, 97035-4558
Phone Number
551-258-7270
Fax Number
Provider Enumeration Date
05/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16940 Tracy Ave
City
Lake Oswego
State
Oregon
Zip
97035-4558
Phone Number
551-258-7270
Fax Number
person
Provider Business Mailing Address Details
Address
16940 Tracy Ave
City
Lake Oswego
State
Oregon
Zip
97035-4558
Phone Number
551-258-7270
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
519252 (Oregon)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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