Wellformed AI

NPI 1902495401 · live from the CMS NPI Registry

Fowzia Abdulle, MSW

Social Worker, Clinical in Portland, OR. National Provider Identifier 1902495401, active.

NPI record

NPI1902495401 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location2740 Se Powell Blvd, Portland, OR 97202
Practice phone503-688-2693
Mailing address9514 Se Emerald Loop, Clackamas, OR 97086
EnumeratedJanuary 11, 2021
Last updatedJanuary 11, 2021
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.