Individual provider · Type 1 NPI
Abdurakhmon Radzhabov
Adult Care Home Facility · Lake Oswego, OR
NPI number
1740971878
Active
Practice location
16940 Tracy Ave
Lake Oswego, OR 97035-4558
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 519252 (OR) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1740971878
Abdurakhmon Radzhabov's National Provider Identifier is 1740971878, issued on May 18, 2023. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Lake Oswego, OR. The record was last updated on May 18, 2023.