Provider Demographics
NPI:1578360384
Name:MOHAMED, FUAD ABDINOR (CADC-R)
Entity type:Individual
Prefix:
First Name:FUAD
Middle Name:ABDINOR
Last Name:MOHAMED
Suffix:
Gender:
Credentials:CADC-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16132 NE GLISAN ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97230-5439
Mailing Address - Country:US
Mailing Address - Phone:971-386-4444
Mailing Address - Fax:
Practice Address - Street 1:16132 NE GLISAN ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97230-5439
Practice Address - Country:US
Practice Address - Phone:971-386-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)