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

Nurhayati Noorul Islam

Individual provider Community Health Worker · NPI 1356210579

Nurhayati Noorul Islam is a Community Health Worker in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

12710 SE Division St
Portland, OR 97236-3134
Phone: (503) 988-5558
Fax: (503) 988-5810
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence THW114700 (OR)

Record details

NPI number1356210579
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 4, 2025
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025

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