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NPI Code Detail

MEDICARE: SABINA ELIZABETH WAHED

MEDICARE: SABINA ELIZABETH WAHED
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1659171171
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABINA ELIZABETH WAHED
Provider Business Mailing Address
First Line : 19190 SW 90TH AVE
Second Line : PO #332
City : TUALATIN
State : OR
Zip : 97062-0840
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2570 48TH ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-1541
Country : US
Telephone Number : 503-826-6839
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2025
Last Update Date : 12/02/2025

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Directions to “ SABINA ELIZABETH WAHED ” Practice Location

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