Ali Tareq Ashour
Individual provider Active NPI Case Manager/Care Coordinator · Portland, ME
NPI 1497311773 · NPPES record last updated Apr 30, 2025
Key facts
- NPI
- 1497311773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- 31673 (ME)
- Practice address
- PO Box 878
Portland, ME 04104-0878 - Phone
- (207) 939-8780
- NPI assigned
- May 13, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31673 | ME | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand of Mercy Health Care, LLC | Current |
Accepting new patients |
Locations
12 Spruce St
Ste 5
Augusta, ME 04330
Phone (207) 329-2838
980 Forest Ave
Ste 106
Portland, ME 04103
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 31673 | ME | Yes |
Addresses
Primary practice location
PO Box 878
Portland, ME 04104-0878
Mailing address
12 Spruce St Ste 5
Augusta, ME 04330-5204
Phone (207) 329-2838
Other providers in Portland, ME
- Dina Medhanie Asfaha
- Sharon Louise Ash Tancredi
- Dirk G. Asherman
- Anna Lee Ashline
- Katherine Ashman
- Omar Ashour
- Victoria L Ashton
- Eugenia Asipenko
- Aspen Care Services LLC
- Aspen Dental of Maine PC
All providers in Portland, ME · Case Manager/Care Coordinator in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 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.