Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Abdurakhmon Radzhabov

Individual provider Adult Care Home Facility · NPI 1740971878

Abdurakhmon Radzhabov is an Adult Care Home Facility in Lake Oswego, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2023

Practice location Address checks out

16940 Tracy Ave
Lake Oswego, OR 97035-4558
Phone: (551) 258-7270
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence 519252 (OR)

Record details

NPI number1740971878
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 18, 2023
Last updated in NPPESMay 18, 2023
Certification dateMay 18, 2023