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

Marissa Autumn Abdallah

Individual provider Case Manager/Care Coordinator · NPI 1679047575

Marissa Autumn Abdallah is a Case Manager/Care Coordinator in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2019

Practice location Address checks out

11035 NE Sandy Blvd
Portland, OR 97220-2553
Phone: (503) 258-4690
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (OR)

Record details

NPI number1679047575
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 15, 2019
Last updated in NPPESJanuary 15, 2019

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