JOHN S ALAM QMHA-I - NPI 1114662079 - Counselor in Portland, OR

Q: What is John Alam's NPI number?

The NPI number for John Alam is 1114662079. It was assigned to this individual provider in the NPPES registry on May 4, 2022.

Q: What is John Alam's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for John Alam was last updated on June 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About John S Alam Qmha-i NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN S ALAM QMHA-I (NPI 1114662079) is an individual mental health provider in Portland, Oregon, licensed in Oregon (23-QMHA-I-003729) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1114662079

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJOHN S ALAMCredential: QMHA-I

Location Address1310 SW 17TH AVEPortland, OR 97201-2522

Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (503) 621-2235

Phone(503) 231-2641

Fax(503) 467-4077

Sole ProprietorNo

Enumeration DateMay 4, 2022

Last NPPES UpdateJune 6, 20233 updates tracked since enumeration

NPPES CertifiedJune 6, 2023

✔ NPI 1114662079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OR · 23-QMHA-I-003729

1310 SW 17TH AVE, Portland, OR 97201

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Other Identifiers 1

Medicaid500806273OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONNA M TURQUOISE QMHP-C

Counselor (Mental Health)