Maryan Abdulkadir
Nurse Practitioner in Portland, Oregon
1295447654- Practice location
- 12710 SE Division St, Portland, OR 97236-3134
- Phone
- 503-988-5558
- Fax
- —
- Last updated
- October 1, 2025
Maryan Abdulkadir is a Nurse Practitioner based in Portland, OR. The NPI number for Maryan Abdulkadir is 1295447654 and holds license No. 10050196 (OR). The current practice location address is 12710 SE Division St, Portland, OR 97236-3134 and the office can be reached by phone at 503-988-5558. The NPI was assigned on December 16, 2022 and the record was last updated in NPPES on October 1, 2025.
●Provider Profile Details
- NPI Number
- 1295447654
- Provider Name
- Maryan Abdulkadir
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- Yes
- Enumeration Date
- December 16, 2022
- Last Update Date
- October 1, 2025
- Certification Date
- October 1, 2025
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 12710 SE Division St
Portland, OR 97236-3134 - City
- Portland
- State
- Oregon
- ZIP
- 97236-3134
- Country
- US
- Phone Number
- 503-988-5558
✉Business Mailing Address
- Address
- 12710 SE Division St
Portland, OR 97236-3134 - City
- Portland
- State
- OR
- ZIP
- 97236-3134
- Phone Number
- 503-988-5558
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Nurse Practitioner 193400000X - Single Specialty Group | 363L00000X | Yes | 10050196 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?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) and holds license No. 10050196 (OR).
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 at npiregistry.cms.hhs.gov.