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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DASTU I AHMAT

Active Sole Proprietor

DASTU I AHMAT is a Assisted Living Facility healthcare provider located in GRESHAM, Oregon. NPI 1346707296 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · GRESHAM, OR

Registration Details

NPI Number
1346707296
Provider Type
Individual
Gender
Female
NPI Issued
Feb 27, 2019 (7.4764796527262 yrs)
Last Updated
Feb 27, 2019
License
11146 (OR)
Sole Proprietor
Yes

Practice Information

Address
55 NW 23RD ST
GRESHAM, OR, 970302640
Browse OR providers · Browse ZIP 97030
Phone
5039846216
Primary Specialty
Assisted Living Facility
311ZA0620X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.