Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FARDOWSA SHARIFF IDRIS, PHYSICIAN ASSISTANT
Active Sole ProprietorFARDOWSA SHARIFF IDRIS, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in TUALATIN, Oregon. NPI 1609419225 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · TUALATIN, OR
Registration Details
- NPI Number
- 1609419225
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 27, 2019 (6.75508105188 yrs)
- Last Updated
- Dec 11, 2020
- License
-
202128 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19255 SW 65TH AVE STE 200TUALATIN, OR, 970629712Browse OR providers · Browse ZIP 97062
- Phone
- 5038281150
- Fax
- 5038281160
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in TUALATIN, OR
| Name | Credential | NPI |
|---|---|---|
| SHANNON E LUNDERS | PA | 1689666844 |
| LISA MAE COWAN | PA-C | 1003807884 |
| MS. PATRICIA KENNEY-MOORE | MS, PA-C | 1740498120 |
| ZACHARY JAMES KNIGHT | PA-C | 1356506943 |
| SARA MEERDTER | — | 1457689176 |
| TAMMY LEIGH WILSON | PA-C | 1346527728 |
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.