Active NPIIndividual providerSole proprietor

Marissa A Abdallah

Case Manager/Care Coordinator in Portland, Oregon

NPI Number1679047575
Practice location
11035 NE Sandy Blvd, Portland, OR 97220-2553
Fax
—
Last updated
January 15, 2019

Marissa A Abdallah is a Case Manager/Care Coordinator based in Portland, OR. The NPI number for Marissa A Abdallah is 1679047575. The current practice location address is 11035 NE Sandy Blvd, Portland, OR 97220-2553 and the office can be reached by phone at 503-258-4690. The NPI was assigned on January 15, 2019 and the record was last updated in NPPES on January 15, 2019.

●Provider Profile Details

NPI Number
1679047575
Provider Name
Marissa Autumn Abdallah
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Case Manager/Care Coordinator · 171M00000X
Sole Proprietor
Yes
Enumeration Date
January 15, 2019
Last Update Date
January 15, 2019
NPI Status
Active

◉Business Practice Location Address

Address
11035 NE Sandy Blvd
Portland, OR 97220-2553
State
Oregon
ZIP
97220-2553
Country
US
Phone Number
503-258-4690

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✉Business Mailing Address

Address
11035 NE Sandy Blvd
Portland, OR 97220-2553
City
Portland
State
OR
ZIP
97220-2553
Phone Number
503-258-4690

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Case Manager/Care Coordinator171M00000XYes—OR

#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 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 at npiregistry.cms.hhs.gov.

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