Healthcare Provider Details

I. General information

NPI: 1457743536
Provider Name (Legal Business Name): AHSON SAEED
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2015
Last Update Date: 02/04/2022
Certification Date: 12/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9250 SW HALL BLVD
TIGARD OR
97223-6721
US

IV. Provider business mailing address

800 SW 13TH AVE
PORTLAND OR
97205-1902
US

V. Phone/Fax

Practice location:
  • Phone: 503-293-0161
  • Fax:
Mailing address:
  • Phone: 503-221-0161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA150467
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD192788
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: