Mohamed Ahmed
Individual provider Active NPI Rehabilitation Practitioner · Portland, OR
NPI 1114759495 · NPPES record last updated Aug 15, 2024
Key facts
- NPI
- 1114759495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 825 NE 20TH Ave Ste 320
Portland, OR 97232-2275 - Phone
- (619) 315-4708
- NPI assigned
- Aug 15, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wevolve Clinic LLC | Current | Accepting new patients |
Locations
825 NE 20th Ave
Ste 320
Portland, OR 97232
Phone (602) 244-1358
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Yes |
Addresses
Primary practice location
825 NE 20TH Ave Ste 320
Portland, OR 97232-2275
Mailing address
825 NE 20TH Ave Ste 320
Portland, OR 97232-2275
Other providers in Portland, OR
- Roxanne Hetty Ahmadpour
- Andrew Joseph Ahmann
- Tazma Ahmed-Datta
- Azma Ahmed
- Ibrahim Z Ahmed
- Sami Ahmed
- Sharif Ahmed
- Stephanie Lucille Ahmed
- Sucdi Ahmed
- Zeenat - Ahmed
All providers in Portland, OR · Rehabilitation Practitioner 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 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.