IndividualActive
Abdurakhmon Radzhabov
NPI 1740971878 · Adult Care Home Facility · Lake Oswego, OR
Provider details
- NPI number
- 1740971878
- Entity type
- Individual
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 519252 (OR)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
16940 Tracy Ave
Lake Oswego, OR 97035-4558
Phone: (551) 258-7270
Approximate (ZIP-level) locationGet directions
Mailing address
16940 Tracy Ave
Lake Oswego, OR 97035-4558
Registry dates
- Enumerated
- 2023-05-18
- Last updated
- 2023-05-18
- Certified
- 2023-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.