Alam, John S
Alam, John S is an individual health care provider with primary practice located at 1310 Sw 17Th Ave , Portland OR 97201-2522. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Alam, John S can be contacted via phone (503) 231-2641.Contact Information
Primary practice address
1310 Sw 17Th Ave
Portland OR 97201-2522
Phone: (503) 231-2641
Fax: (503) 467-4077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 23-QMHA-I-003729 | Oregon |
Profile Details
| NPI number | 1114662079 |
|---|---|
| LBN Legal business name | Alam, John S |
| Credentials | QMHA-I |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2022 |
| Last updated | Jun 6th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114662079 | NPPES |
| Oregon | MEDICAID | 500806273 |
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