Provider Demographics
NPI:1780559401
Name:ABDI, SULEKO
Entity type:Individual
Prefix:
First Name:SULEKO
Middle Name:
Last Name:ABDI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:783 SE 185TH AVE APT 168TH
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97233-3466
Mailing Address - Country:US
Mailing Address - Phone:971-254-8916
Mailing Address - Fax:
Practice Address - Street 1:2110 SE 82ND AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97216-1410
Practice Address - Country:US
Practice Address - Phone:971-254-8916
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker