Provider Demographics
NPI:1861222903
Name:RAHMAN, MUHAMMAD B
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:B
Last Name:RAHMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 N WEIDLER ST APT 345
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97227-1897
Mailing Address - Country:US
Mailing Address - Phone:503-990-3411
Mailing Address - Fax:
Practice Address - Street 1:10 N WEIDLER ST APT 345
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97227-1897
Practice Address - Country:US
Practice Address - Phone:503-990-3411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)