Individual provider · Type 1 NPI

Bariisaa Kedir Sultan

Contractor · Portland, OR

NPI number 1538054366 Active

Practice location

2110 SE 82nd Ave
Portland, OR 97216-1410

Mailing address

14021 E Burnside St
Portland, OR 97233-2131

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1538054366

Bariisaa Kedir Sultan's National Provider Identifier is 1538054366, issued on Jun 11, 2025. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Portland, OR. The record was last updated on Jun 11, 2025.