Individual provider · Type 1 NPI

Musah N. Iddrisu, RN

Nurse Practitioner · Portland, OR

NPI number 1124627054 Active

Practice location

12710 SE Division St
Portland, OR 97236-3134

Call (503) 988-3601 Map

Mailing address

619 NW 6th Ave Fl 5
Portland, OR 97209-3964

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X10017169 (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

49 other providers at this address

Other nurse practitioner providers in Portland

See all in Portland →

About NPI 1124627054

Musah N. Iddrisu, RN's National Provider Identifier is 1124627054, issued on Oct 21, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Portland, OR. The record was last updated on Nov 7, 2023.