MEDICARE: HABAN OSMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide		OR

General Provider Information

NPI Number	:	1326974825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HABAN OSMAN

Provider Business Mailing Address
First Line	:	17330 SW SARALA ST
Second Line	:
City	:	BEAVERTON
State	:	OR
Zip	:	97007-6761
Country	:	US
Telephone Number	:	503-332-3285
Fax Number	:

Provider Business Practice Location Address
First Line	:	9123 SW BARBUR BLVD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97219-4017
Country	:	US
Telephone Number	:	503-332-3285
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2026
Last Update Date	:	06/22/2026

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Directions to “ HABAN OSMAN ” Practice Location

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