Active NPIIndividual provider

John S Alam, QMHA-I

Counselor, Mental Health in Portland, Oregon

NPI Number1114662079
Practice location
1310 SW 17TH Ave, Portland, OR 97201-2522
Fax
503-467-4077
Last updated
June 6, 2023

John S Alam, QMHA-I is a Counselor, Mental Health based in Portland, OR. John S Alam, QMHA-I holds the professional credentials of QMHA-I. The NPI number for John S Alam, QMHA-I is 1114662079 and holds license No. 23-QMHA-I-003729 (OR). The current practice location address is 1310 SW 17TH Ave, Portland, OR 97201-2522 and the office can be reached by phone at 503-231-2641 and by fax at 503-467-4077. The NPI was assigned on May 4, 2022 and the record was last updated in NPPES on June 6, 2023.

●Provider Profile Details

NPI Number
1114662079
Provider Name
John S Alam
Credential
QMHA-I
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Enumeration Date
May 4, 2022
Last Update Date
June 6, 2023
Certification Date
June 6, 2023
NPI Status
Active

◉Business Practice Location Address

Address
1310 SW 17TH Ave
Portland, OR 97201-2522
State
Oregon
ZIP
97201-2522
Country
US
Phone Number
503-231-2641
Fax Number
503-467-4077

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✉Business Mailing Address

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

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Mental Health101YM0800XYes23-QMHA-I-003729OR

#Other Provider Identifiers

No legacy or other 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) and holds license No. 23-QMHA-I-003729 (OR).

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 at npiregistry.cms.hhs.gov.

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