IndividualActive
Mohammed Aliy, RN
NPI 1790637908 · General Practice Registered Nurse · Beaverton, OR
Provider details
- NPI number
- 1790637908
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- RN202209766RN (OR)
Specialties & taxonomies
Nursing Service Providers
Practice location
1540 Sw 204th Ave
Beaverton, OR 97003-2067
Phone: (702) 629-0784
Approximate (ZIP-level) locationGet directions
Mailing address
1540 Sw 204th Ave
Beaverton, OR 97003-2067
Registry dates
- Enumerated
- 2026-02-11
- Last updated
- 2026-02-11
- Certified
- 2026-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.