SIIDOMAR HASEM NPI 1780509513

NPI Information

  • NPI: 1780509513
  • Provider Name: SIIDOMAR HASEM
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 16323 SE STARK ST STE 102
    PORTLAND, OR
    ZIP 97233
  • Phone: (503) 265-8922

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NPI Details

Siidomar Hasem is an addiction (substance use disorder) counselor in Portland, OR. Siidomar Hasem NPI is 1780509513. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16323 SE STARK ST STE 102
PORTLAND, OR
ZIP 97233-942
Phone: (503) 265-8922
Fax: (971) 420-2990

The enumeration date for this NPI number is 8/11/2026 and was last updated on 8/11/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)169953535195OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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