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ABDUL FOFANAH
NPI 1235689191
Counselor - Mental Health in Portland, OR

Active since October 04, 2016
847 NE 19TH AVE STE 100, PORTLAND, OR 97232(503) 238-0769 Get Directions Write a Review

NPPES record last updated: September 26, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Abdul Fofanah NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABDUL FOFANAH (NPI 1235689191) is an individual mental health provider in Portland, Oregon and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1235689191
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameABDUL FOFANAH
Location Address847 NE 19TH AVE STE 100Portland, OR 97232-2684
Mailing AddressPo Box 8459Portland, OR 97207-8459
Phone(503) 238-0769
Sole ProprietorNo
Enumeration DateOctober 4, 2016
Last NPPES UpdateSeptember 26, 2017
✔ NPI 1235689191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
847 NE 19TH AVE STE 100, Portland, OR 97232
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TESHA YOLANDA MITCHELL
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
JENNIFER PETERS
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
REAGAN WILLIAM SELLERS
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
PHILLIP ALEXANDER HALL
Case Manager/Care Coordinator
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
KATE OLDFIELD
Counselor (Addiction (Substance Use Disorder))
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
KERSEY STEPHEN HARDING
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
EMILY HURD
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
REESE ERVIN GIBERSON
Social Worker
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abdul Fofanah's NPI number?

The NPI number for Abdul Fofanah is 1235689191. It was assigned to this individual provider in the NPPES registry on October 4, 2016.

Where is Abdul Fofanah located?

Abdul Fofanah practices at 847 NE 19th Ave Ste 100, Portland, OR 97232. The listed phone number is (503) 238-0769.

What is Abdul Fofanah's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Abdul Fofanah was last updated on September 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.