Hattan Abdullah Alghamdi, M.D., MPH
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Portland, OR
NPI 1073962239 · NPPES record last updated Aug 20, 2021
Key facts
- NPI
- 1073962239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 3181 SW Sam Jackson Park
Mailcode: Op11
Portland, OR 97239 - Phone
- (503) 494-8558
- Fax
- (503) 346-8081
- NPI assigned
- Jun 8, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
3181 SW Sam Jackson Park
Mailcode: Op11
Portland, OR 97239
Mailing address
750 SW 9TH Ave
Apt 1812
Portland, OR 97205
Phone (305) 588-8836
Other providers in Portland, OR
- Roberto Antonio Alfaro
- John Alferes Jr.
- Victoria Isabel Alferez-Dickerson
- Mariah Alford
- Vanessa Alger
- Adriel Lewis Algiene
- Brianna Kalyana Algrabeli
- Allison Alhadas
- Fawaz S Alhumaid
- Ali Transpotation LLC
All providers in Portland, OR · Student in an Organized Health Care Education/Training Program in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.