Abraham Adare
Individual provider Active NPI Foster Care Agency · Gresham, OR
NPI 1306720644 · NPPES record last updated Aug 1, 2025
Key facts
- NPI
- 1306720644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foster Care Agency 253J00000X
- Practice address
- 4711 SE 1St Ter
Gresham, OR 97080-2007 - Phone
- (971) 335-8240
- NPI assigned
- Jul 31, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Foster Care Agency | 253J00000X | Yes |
Addresses
Primary practice location
4711 SE 1St Ter
Gresham, OR 97080-2007
Mailing address
16782 NE Schuyler CT
Portland, OR 97230-6092
Phone (971) 335-8240
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2025. 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.