Rasheed Hassan Shabazz

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

621 SW Alder St Ste 520
Portland, OR 97205-3620

Phone

(503) 494-4745

NPI assigned

Sep 15, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1598543191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2242 NE 121ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972201838",
            "telephone_number": "503-995-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 SW ALDER ST STE 520",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053620",
            "telephone_number": "503-494-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABAZZ",
        "first_name": "RASHEED",
        "middle_name": "HASSAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Sferra, DACM, LAC.
• SFM Portland LLC
• Sge and Sakura Therapy, LLC
• Sean Eugene Sha, M.D.
• Steven Sha, DO
• Phoebe Shabram
• Tessa Shabram
• Dustin Shackleton, M.D.
• Jason Shad, CRM, PSS
• Dana Shadburne, MA, MFT

• Student in an Organized Health Care Education/Training Program in Portland, OR
• Providers in Portland, OR by specialty
• Student in an Organized Health Care Education/Training Program in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.