Provider Demographics
NPI:1073962239
Name:ALGHAMDI, HATTAN ABDULLAH (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:HATTAN
Middle Name:ABDULLAH
Last Name:ALGHAMDI
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 SW 9TH AVE
Mailing Address - Street 2:APT 1812
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205
Mailing Address - Country:US
Mailing Address - Phone:305-588-8836
Mailing Address - Fax:305-585-6043
Practice Address - Street 1:3181 SW SAM JACKSON PARK
Practice Address - Street 2:MAILCODE: OP11
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239
Practice Address - Country:US
Practice Address - Phone:503-494-8558
Practice Address - Fax:503-346-8081
Is Sole Proprietor?:No
Enumeration Date:2016-06-08
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program