Individual provider · Type 1 NPI
Siidomar Hasem
Addiction (Substance Use Disorder) Counselor · Portland, OR
NPI number
1780509513
Active
Practice location
16323 SE Stark St Ste 102
Portland, OR 97233-3942
Fax (971) 420-2990
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 169953535195 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1780509513
Siidomar Hasem's National Provider Identifier is 1780509513, issued on Aug 11, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Aug 11, 2026.