Individual
MR. MOHAMMAD A BADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.PC
Contact information
Practice address
423 NE 60TH AVE, PORTLAND, OR 97213-3725
(503) 475-8676
Mailing address
4515 NE FAILING ST, PORTLAND, OR 97213-1057
(503) 847-4483
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
61606543
WA
101YP2500X
Professional Counselor
Primary
C1132
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136251
MANAGED HEALTH NETWORK
OR
Enumeration date
06/09/2008
Last updated
07/11/2025
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