Provider Information for 1386818656
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RAMATA KAZADI ADEBAWO QMHP
Sex: Female
NPI: 1386818656
Last Updated: 2022-04-30
Certification Date: 2022-04-30
Certification Date: 2022-04-30
Details
Name | Value | ||||||||||||
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NPI | 1386818656 | ||||||||||||
Enumeration Date | 2008-04-17 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 8383 NE SANDY BLVD 430 SUITE PORTLAND, OR 97220-2243 United States Phone: 503-593-0134 | Fax: | ||||||||||||
Primary Practice Address | 8383 NE SANDY BLVD STE 430 PORTLAND, OR 97220-4998 United States Phone: 503-593-0134 | Fax: | ||||||||||||
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