Provider Demographics
NPI:1043193428
Name:ABDISALAN, SAMA ABDIAZIZ
Entity type:Individual
Prefix:
First Name:SAMA
Middle Name:ABDIAZIZ
Last Name:ABDISALAN
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 1:9061 SEWARD PARK AVE S APT 12-135
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-5100
Mailing Address - Country:US
Mailing Address - Phone:206-307-8055
Mailing Address - Fax:
Practice Address - Street 1:9061 SEWARD PARK AVE S APT 12-135
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-5100
Practice Address - Country:US
Practice Address - Phone:206-307-8055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula