Fartun Ibrahim

NPI #1164240099 in Beaverton, Oregon

Provider Information

NPI Number: 1164240099
Entity Type: Individual
Name: Fartun Ibrahim
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 30, 2024
Last Updated: Sep 30, 2024

Practice Location

Address: 20421 SW GRACIE ST
City: Beaverton
State: Oregon
ZIP Code: 97006-1728
Phone: (971) 401-9637

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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