Individual
ZOHA AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-3442
(503) 494-5330
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-3442
(503) 494-5330
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA213478
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000
—
OR
Enumeration date
01/15/2022
Last updated
06/08/2023
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