SOAD NUR ABDI


Address: 2740 Se Powell Blvd, Portland, OR 97202-2069
Phone: 5032312629

SOAD NUR ABDI (NPI# 1174164164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174164164
Entity Type Individual
Full Name SOAD NUR ABDI
Practice Address 2740 Se Powell Blvd
Portland
OR 97202-2069
Mailing Address 12212 Se Ramona St
Portland
OR 97236-4660
Practice Telephone 5032312629
Mailing Telephone 9524860324
Enumeration Date 2019-10-01
Last Update Date 2019-10-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 171M00000X 05

Office Location

Street Address 2740 SE POWELL BLVD
City PORTLAND
State OR
Zip Code 97202-2069

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659776136 Evening Willis-cash Counselor 2740 Se Powell Blvd, Portland, OR 97202-2069 2014-10-27
1639778251 Fedor Jose Alvarado Case Manager/Care Coordinator 2740 Se Powell Blvd, Portland, OR 97202-2069 2020-10-23
1992317515 Isaac Suarez-nugent Clinic/Center 2740 Se Powell Blvd, Portland, OR 97202-2069 2020-08-17
1033689070 Cynthia G Molina Student in an Organized Health Care Education/Training Program 2740 Se Powell Blvd, Portland, OR 97202-2069 2018-12-03
1508334426 Emily Ann Waldron Social Worker 2740 Se Powell Blvd, Portland, OR 97202-2069 2018-11-08
1376034538 Rachael Domeyer Student in an Organized Health Care Education/Training Program 2740 Se Powell Blvd, Portland, OR 97202-2069 2018-05-23
1538662168 Abigail Annie Buckles Student in an Organized Health Care Education/Training Program 2740 Se Powell Blvd, Portland, OR 97202 2018-03-09
1205346384 Yasharet Lopez-valencia Social Worker 2740 Se Powell Blvd, Portland, OR 97202-2069 2017-10-03
1619429461 Lauren Crombie Social Worker 2740 Se Powell Blvd, #7, Portland, OR 97202-2069 2016-10-27
1073963609 Heather Zarrilli Social Worker 2740 Se Powell Blvd, Portland, OR 97202-2069 2016-06-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073143442 Carewell LLC Counselor Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 2020-01-24
1588226765 Melissa Lynn Hartley Counselor 1235 Se Division St. Suite 103, Portland, OR 97202 2019-07-08
1275192999 Kimberly Rae Kilgore Counselor 5509 Se 22nd St #3a, Portland, OR 97202 2019-06-06
1639736069 Kyra Steinhauer Social Worker 3145 Se Powell Blvd, Portland, OR 97202 2019-05-21
1134644321 Bridgette Hennigsen Social Worker 3810 Se 11th Ave, Portland, OR 97202 2017-08-08
1558895789 Lenore Cangeloso Acupuncturist 1235 Se Division Street, Suie 117, Portland, OR 97202 2017-04-14
1376099093 Anna Christine Leclerc Contractor 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 2016-09-01
1144684663 Catholic Charities Case Management 2740 Se Powell Blvd., Portland, OR 97202 2016-04-11
1881082097 Zoomcare Dental, P.C. Dentist 3130 Se Division Street, Building 2, Portland, OR 97202 2014-12-23
1124424700 Jessica Nash Counselor 6411 Se 17th Ave, Portland, OR 97202 2014-11-10
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437775558 John Alan Varner Case Manager/Care Coordinator 5833 N Lombard St, Portland, OR 97203-4115 2020-06-24
1750906228 Dwell Care LLC. Case Manager/Care Coordinator 1720 Nw Lovejoy St Ste 202, Portland, OR 97209-2341 2020-06-10
1871138453 Kedrick Starr Case Manager/Care Coordinator 14600 Nw Cornell Rd., Portland, OR 97229 2019-11-07
1477102077 Joslyn Bailey Gheen Case Manager/Care Coordinator 1032 Sw Main St, Portland, OR 97205-2407 2019-09-05
1497311773 Ali Tareq Ashour Case Manager/Care Coordinator 980 Forest Ave Ste 106, Portland, ME 04103-3357 2019-05-13
1427540202 Amber Tracy Ware Case Manager/Care Coordinator 30 Ne Martin Luther King Jr Blvd, Portland, OR 97232-2941 2018-06-06
1710479209 Katherine Anne Kerr Case Manager/Care Coordinator 4307 Ne 102nd Ave, Portland, OR 97220-3439 2018-05-31
1194230664 Ankita Guchait Case Manager/Care Coordinator 14600 Nw Cornell Rd, Portland, OR 97229 2017-12-06
1083137459 David Sague Case Manager/Care Coordinator 7820 Ne Holman St Ste B5, Portland, OR 97218-2841 2017-07-18
1538601885 Gabriela Simone Sargent Case Manager/Care Coordinator 4109 Se 113th Ave, Portland, OR 97266-2226 2016-11-16
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Competitor

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City PORTLAND
Zip Code 97202

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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