Omar Bah
Individual provider Active NPI Case Manager/Care Coordinator · Portland, OR
NPI 1033739826 · NPPES record last updated Apr 21, 2020
Key facts
- NPI
- 1033739826
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 9125 SW 55TH Ave
Portland, OR 97219-5018 - Phone
- (503) 477-4622
- NPI assigned
- Apr 21, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
9125 SW 55TH Ave
Portland, OR 97219-5018
Mailing address
PO Box 8459
Portland, OR 97207-8459
Phone (503) 238-0769
Other providers in Portland, OR
- Anthony Bagoyo
- Alexis Kari Bagwell
- Anne Fraser Bagwell
- Katherine A Bagwell
- Lauren Lee Bah
- Bahandi Inc. Dba Comfort Keepers
- Alistair Bahar
- Denise Mirel Bahena
- Robbie Bahl
- Alexandra Marie Bahling
All providers in Portland, OR · Case Manager/Care Coordinator in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.