Provider Demographics
NPI:1023841400
Name:AZIZ, AHAD ZAKEE (MBA)
Entity type:Individual
Prefix:
First Name:AHAD
Middle Name:ZAKEE
Last Name:AZIZ
Suffix:
Gender:M
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 NW 22ND AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-2974
Mailing Address - Country:US
Mailing Address - Phone:971-262-9632
Mailing Address - Fax:971-262-9601
Practice Address - Street 1:1130 NW 22ND AVE STE 150
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-2974
Practice Address - Country:US
Practice Address - Phone:971-262-9632
Practice Address - Fax:971-262-9601
Is Sole Proprietor?:No
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No171M00000XOther Service ProvidersCase Manager/Care Coordinator