KHALID M OTHMAN
NPI 1710721626
Counselor - Mental Health in Portland, OR
Active since June 24, 2024
About Khalid M Othman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KHALID M OTHMAN (NPI 1710721626) is an individual mental health provider in Portland, Oregon and active in the NPI registry since June 2024.
NPPES Registry Identity
NPI1710721626
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKHALID M OTHMAN
Location Address1508 SW 13TH AVEPortland, OR 97201-3312
Mailing Address8915 Sw Center StTigard, OR 97223-6307 · (503) 726-3740
Phone(971) 255-3966
Sole ProprietorNo
Enumeration DateJune 24, 2024
NPPES CertifiedJune 24, 2024
✔ NPI 1710721626 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1508 SW 13TH AVE, Portland, OR 97201
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710721626, enumerated as an "individual" on June 24, 2024.
The provider is located at 1508 SW 13TH AVE PORTLAND, OR 97201 and the phone number is (971) 255-3966.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
