Individual
RASHEED HASSAN SHABAZZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
621 SW ALDER ST STE 520, PORTLAND, OR 97205-3620
(503) 494-4745
Mailing address
2242 NE 121ST AVE, PORTLAND, OR 97220-1838
(503) 995-1793
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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