Healthcare Provider Details

I. General information

NPI: 1013871136
Provider Name (Legal Business Name): RAHAM, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E HERSEY ST STE 6B
ASHLAND OR
97520-5200
US

IV. Provider business mailing address

300 E HERSEY ST STE 6B
ASHLAND OR
97520-5200
US

V. Phone/Fax

Practice location:
  • Phone: 541-708-3566
  • Fax: 606-240-1934
Mailing address:
  • Phone: 541-708-3566
  • Fax: 606-240-1934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: AMIRAH DAVID
Title or Position: OWNER
Credential: LPC, PMH-C
Phone: 541-708-3566