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

Musah N Iddrisu, RN

Individual provider Nurse Practitioner · NPI 1124627054

Musah N Iddrisu, RN is a Nurse Practitioner in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2020.

Licensed in
OR
In the registry since
2020
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

12710 SE Division St
Portland, OR 97236-3134
Phone: (503) 988-3601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 10017169 (OR)

Record details

NPI number1124627054
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedOctober 21, 2020
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023

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