Active NPIIndividual provider

Raolat Ajibade III

Adult Companion in Portland, Oregon

NPI Number1043755028
Practice location
847 N.e 19THAVE, Portland, OR 97232
Fax
—
Last updated
December 29, 2016

Raolat Ajibade III is a Adult Companion based in Portland, OR. The NPI number for Raolat Ajibade III is 1043755028. The current practice location address is 847 N.e 19THAVE, Portland, OR 97232 and the office can be reached by phone at 503-238-0769. The NPI was assigned on December 29, 2016 and the record was last updated in NPPES on December 29, 2016.

●Provider Profile Details

NPI Number
1043755028
Provider Name
Raolat Ajibade
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Adult Companion · 372600000X
Sole Proprietor
No
Enumeration Date
December 29, 2016
Last Update Date
December 29, 2016
NPI Status
Active

◉Business Practice Location Address

Address
847 N.e 19THAVE
Portland, OR 97232
State
Oregon
ZIP
97232
Country
US
Phone Number
503-238-0769

Get directions →

✉Business Mailing Address

Address
Po Box 8459
Portland, OR 97207-8459
City
Portland
State
OR
ZIP
97207-8459

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Adult Companion372600000XYes——

#Other Provider Identifiers

No legacy or other 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 Raolat Ajibade III?

The NPI number of Raolat Ajibade III is 1043755028. It was assigned on December 29, 2016 and is currently active in the NPPES registry.

What is the specialty of Raolat Ajibade III?

Raolat Ajibade III is registered under the primary taxonomy Adult Companion (code 372600000X).

Where does Raolat Ajibade III practice?

The practice location is 847 N.e 19THAVE, Portland, OR 97232. The office can be reached at 503-238-0769 (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 1043755028 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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