Healthcare Provider Details

I. General information

NPI: 1184596009
Provider Name (Legal Business Name): ABEER AHMED MIQAD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2025
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 NE 77TH AVE STE 180
VANCOUVER WA
98662-6736
US

IV. Provider business mailing address

1327 SE 182ND AVE UNIT B
PORTLAND OR
97233-5060
US

V. Phone/Fax

Practice location:
  • Phone: 360-993-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFTA.MG.70016607
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: