Individual
MARYAM RAHMAN
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) 494-8211
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8211
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
DO210420
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0355111
—
OH
Enumeration date
04/07/2019
Last updated
06/12/2022
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