- Practice location
- 1310 SW 17TH Ave, Portland, OR 97201-2522
- Phone
- 503-231-2641
- Fax
- 503-467-4077
- Last updated
- June 6, 2023
John S Alam is a Counselor, Mental Health based in Portland, OR. John S Alam practices in Portland, OR and has the professional credentials of QMHA-I. The NPI Number for John S Alam is 1114662079 and holds a License No. 23-QMHA-I-003729 (OR). The current practice location address for John S Alam is 1310 SW 17TH Ave, Portland, OR 97201-2522 and can be reached out via phone at 503-231-2641 and via fax at 503-467-4077.
Provider Profile Details
- NPI Number
- 1114662079
- Provider Name
- John S Alam
- Credential
- QMHA-I
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1310 SW 17TH Ave, Portland, OR 97201-2522
- Phone Number
- 503-231-2641
- Fax Number
- 503-467-4077
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 4, 2022
- Last Update Date
- June 6, 2023
- Certification Date
- June 6, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1310 SW 17TH Ave
Portland, OR 97201-2522 - City
- Portland
- State
- Oregon
- Zip
- 97201-2522
- Phone Number
- 503-231-2641
- Fax Number
- 503-467-4077
Provider Business Mailing Address Details
- Address
- 1776 SW Madison St
Portland, OR 97205-1715 - City
- Portland
- State
- OR
- Zip
- 97205-1715
- Phone Number
- 503-224-1044
- Fax Number
- 503-621-2235
License Information
- License Number
- 23-QMHA-I-003729
- License State
- OR
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of John S Alam, QMHA-I?
The NPI number of John S Alam, QMHA-I is 1114662079. It was assigned on May 4, 2022 and is currently active in the NPPES registry.
What is the specialty of John S Alam, QMHA-I?
John S Alam, QMHA-I is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in OR under license number 23-QMHA-I-003729.
Where does John S Alam, QMHA-I practice?
The practice location is 1310 SW 17TH Ave, Portland, OR 97201-2522. The office can be reached at 503-231-2641 (phone) or 503-467-4077 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114662079 directly on the NPPES registry website.