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

ABDISSA EDAO, LPN

Active Sole Proprietor

ABDISSA EDAO, LPN is a Licensed Practical Nurse healthcare provider located in PORTLAND, Oregon. NPI 1366173858 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · PORTLAND, OR

Registration Details

NPI Number
1366173858
Provider Type
Individual
Gender
Male
NPI Issued
Jun 23, 2022 (4.1257565305156 yrs)
Last Updated
Jun 23, 2022
License
202108371LPN (OR)
Sole Proprietor
Yes

Practice Information

Address
3640 SE 144TH AVE
PORTLAND, OR, 972362729
Browse OR providers · Browse ZIP 97236
Phone
5036792918
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in PORTLAND, OR

Name Credential NPI
MARGARET JOYCE BREED LPN 1487772125
ROBYN E DAVIS LPN 1558584839
MICHAEL R COON LPN 1003030057
IDELL S BROWN LPN 1386868859
SUSAN L WEST LPN 1902021868
LAURENCETTA HAWKINS LPN 1518183797
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.