MEDICARE: OMAR HASHI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	T-25-5064	OR

General Provider Information

NPI Number	:	1528984416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OMAR HASHI

Provider Business Mailing Address
First Line	:	16323 SE STARK ST STE 2
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97233-3963
Country	:	US
Telephone Number	:	503-265-8922
Fax Number	:	971-420-2990

Provider Business Practice Location Address
First Line	:	16323 SE STARK ST STE 2
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97233-3963
Country	:	US
Telephone Number	:	503-265-8922
Fax Number	:	971-420-2990

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2026
Last Update Date	:	06/25/2026

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Directions to “ OMAR HASHI ” Practice Location

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