ABDISSA EDAO LPN
NPI 1366173858
Licensed Practical Nurse in Portland, OR

Q: What is Abdissa Edao's NPI number?

The NPI number for Abdissa Edao is 1366173858. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Q: What is Abdissa Edao's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Abdissa Edao was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 23, 2022

3640 SE 144TH AVE, PORTLAND, OR 97236(503) 679-2918 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Abdissa Edao Lpn NPPES

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

ABDISSA EDAO LPN (NPI 1366173858) is an individual licensed practical nurse in Portland, Oregon, licensed in Oregon (202108371LPN) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1366173858

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameABDISSA EDAOCredential: LPN

Location Address3640 SE 144TH AVEPortland, OR 97236-2729

Mailing Address3708 Se 144th AvePortland, OR 97236-2731 · (503) 679-2918

Phone(503) 679-2918

Sole ProprietorYes

Enumeration DateJune 23, 2022

NPPES CertifiedJune 23, 2022

✔ NPI 1366173858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in OR · 202108371LPN

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

3640 SE 144TH AVE, Portland, OR 97236

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Other Providers at the Same Location NPPES

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

PETROS WARITU REGISTERED NURSE

Registered Nurse

3640 SE 144TH AVE
PORTLAND, OR 97236

Multnomah County (503) 762-9080

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 Abdissa Edao's NPI number?

The NPI number for Abdissa Edao is 1366173858. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Where is Abdissa Edao located?

Abdissa Edao practices at 3640 SE 144th Ave, Portland, OR 97236. The listed phone number is (503) 679-2918.

What is Abdissa Edao's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Abdissa Edao was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.