Individual provider · Type 1 NPI
Maryan Abdulkadir
Nurse Practitioner · Portland, OR
Practice location
12710 SE Division St
Portland, OR 97236-3134
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 10050196 (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…
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About NPI 1295447654
Maryan Abdulkadir's National Provider Identifier is 1295447654, issued on Dec 16, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Portland, OR. The record was last updated on Oct 1, 2025.