Provider Demographics
NPI:1730629122
Name:ALABI, KEHINDE
Entity type:Individual
Prefix:
First Name:KEHINDE
Middle Name:
Last Name:ALABI
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 1:7800 SW SAGERT ST APT 95
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-9234
Mailing Address - Country:US
Mailing Address - Phone:503-998-9374
Mailing Address - Fax:
Practice Address - Street 1:7800 SW SAGERT ST APT 95
Practice Address - Street 2:
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-9234
Practice Address - Country:US
Practice Address - Phone:503-998-9374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-03
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201600348RN163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health