Abi Afework, RN
Individual provider Active NPI Registered Nurse · Portland, OR
NPI 1992221147 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1992221147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 200942704RN (OR)
- Practice address
- 9765 SW Vista PL
Portland, OR 97225-4250 - Phone
- (510) 295-9154
- NPI assigned
- Aug 18, 2017
- Sex
- Female
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200942704RN | OR | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 200942704RN | OR | Yes |
Addresses
Primary practice location
9765 SW Vista PL
Portland, OR 97225-4250
Mailing address
9765 SW Vista PL
Portland, OR 97225-4250
Phone (510) 295-9154
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.