Provider Demographics
NPI:1780308478
Name:ADOW, IBRAHIM ABDIKADIR (INTERPRETER)
Entity type:Individual
Prefix:
First Name:IBRAHIM
Middle Name:ABDIKADIR
Last Name:ADOW
Suffix:
Gender:M
Credentials:INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12303 8TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98146-2824
Mailing Address - Country:US
Mailing Address - Phone:206-859-8597
Mailing Address - Fax:
Practice Address - Street 1:12303 8TH AVE SW
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98146-2824
Practice Address - Country:US
Practice Address - Phone:206-859-8597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA10875171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter