NPI 1588484109

Weraka Fogi

Practitioner Driver Portland, OR

Practice location

Address: 18318 NE Flanders St, Portland, OR 97230-7246
Phone: (510) 229-8243
Fax: (503) 512-7106

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 283198 (OR)

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Registry record

NPI: 1588484109
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Oct 2024
Record last updated: 17 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.