Siidomar Hasem

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

169953535195 Issued in OR

Practice address

16323 SE Stark St Ste 102
Portland, OR 97233-3942

Phone

(503) 265-8922

Fax

(971) 420-2990

NPI assigned

Aug 11, 2026

Last updated

Aug 11, 2026By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pacific Mental Health Clinic LLC

  • Clinical Social Worker
  • Portland, OR
  • NPI 1699535195
  NPD (past)

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1780509513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16323 SE STARK ST STE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972333942",
            "telephone_number": "503-265-8922",
            "fax_number": "971-420-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16323 SE STARK ST STE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972333942",
            "telephone_number": "503-265-8922",
            "fax_number": "971-420-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASEM",
        "first_name": "SIIDOMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "169953535195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saifullah Hasan
• Shagufta A Hasan, M.D.
• Yousif M Hasan
• Robyn Hasegawa, ACT
• Jordan Taylor Haselnus
• James J Hasenauer, M.D.
• Dana Hasert
• Lauren Hasha, LPC
• Hasnain A Hasham, M.D.
• Renee St. Marie Hashbarger, FNP

• Addiction (Substance Use Disorder) Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.