1. Home
  2. Directory
  3. Oregon
  4. Lake Oswego
  5. Custodial Care Facility
  6. NPI Profile

ABDURAKHMON RADZHABOV
NPI 1740971878
Custodial Care Facility - Adult Care Home in Lake Oswego, OR

Active since May 18, 2023
16940 TRACY AVE, LAKE OSWEGO, OR 97035(551) 258-7270 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Abdurakhmon Radzhabov NPPES

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

ABDURAKHMON RADZHABOV (NPI 1740971878) is an individual adult care home provider in Lake Oswego, Oregon, licensed in Oregon (519252) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1740971878
Entity TypeIndividualMale
Primary Taxonomy311ZA0620X
Provider Legal NameABDURAKHMON RADZHABOV
Location Address16940 TRACY AVELake Oswego, OR 97035-4558
Mailing Address16940 Tracy AveLake Oswego, OR 97035-4558 · (551) 258-7270
Phone(551) 258-7270
Sole ProprietorYes
Enumeration DateMay 18, 2023
NPPES CertifiedMay 18, 2023
✔ NPI 1740971878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in OR · 519252
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
16940 TRACY AVE, Lake Oswego, OR 97035
Open in Google Maps ↗

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 Abdurakhmon Radzhabov's NPI number?

The NPI number for Abdurakhmon Radzhabov is 1740971878. It was assigned to this individual provider in the NPPES registry on May 18, 2023.

Where is Abdurakhmon Radzhabov located?

Abdurakhmon Radzhabov practices at 16940 Tracy Ave, Lake Oswego, OR 97035. The listed phone number is (551) 258-7270.

What is Abdurakhmon Radzhabov's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Abdurakhmon Radzhabov was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.