ABDISSA EDAO LPN NPI 1366173858

NPI Information

NPI: 1366173858
Provider Name: ABDISSA EDAO, LPN
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
3640 SE 144TH AVE
PORTLAND, OR
ZIP 97236
Phone: (503) 679-2918
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Abdissa Edao, LPN is a licensed practical nurse in Portland, OR. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Abdissa Edao, LPN NPI is 1366173858. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3640 SE 144TH AVE
PORTLAND, OR
ZIP 97236-729
Phone: (503) 679-2918

The enumeration date for this NPI number is 6/23/2022 and was last updated on 6/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		202108371LPN	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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