Fardowsa Idris, PHYSICIAN ASSISTANT

NPI 1609419225 · on the registry since 2019 · sole proprietor

Practice

Address: 19255 Sw 65th Ave Ste 200
Tualatin, OR 97062
Phone: (503) 828-1150
Fax: (503) 828-1160
Organisation at this address: Pdx Natural Medicine
Total Renal Care Inc
Oregon Spine Care Llc
Robert L Tatsumi Md Pc
Alexander C Ching Md Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 24

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon