MEDICARE: MUHAMMAD B RAHMAN

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

General Provider Information

NPI Number	:	1861222903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUHAMMAD B RAHMAN

Provider Business Mailing Address
First Line	:	10 N WEIDLER ST APT 345
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97227-1897
Country	:	US
Telephone Number	:	503-990-3411
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 N WEIDLER ST APT 345
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97227-1897
Country	:	US
Telephone Number	:	503-990-3411
Fax Number	:

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

Provider Enumeration Date	:	08/05/2024
Last Update Date	:	08/05/2024

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Directions to “ MUHAMMAD B RAHMAN ” Practice Location

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