NPI 1104756907 · live from the CMS NPI Registry
Abdifatah Abdi
Social Worker in Portland, OR. National Provider Identifier 1104756907, active.
NPI record
| NPI | 1104756907 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 783 Se 185th Ave, Portland, OR 97233 |
| Practice phone | 971-895-5648 |
| Mailing address | 783 Se 185th Ave Apt 168, Portland, OR 97233 |
| Enumerated | May 22, 2026 |
| Last updated | May 22, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.