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FARDOWSA IDRIS, PHYSICIAN ASSISTANT
PHYSICIAN ASSISTANT
NPI: 1609419225IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
202128(OR)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2020
Contact & Hours
- Address
- 19255 SW 65TH AVE STE 200
TUALATIN, OR 97062 - Phone
- (503) 828-1150
Quick Facts
- NPI
- 1609419225
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 6
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