Siidomar Hasem

NPI 1780509513 · on the registry since 2026 · sole proprietor

Practice

Address: 16323 Se Stark St Ste 102
Portland, OR 97233
Phone: (503) 265-8922
Fax: (971) 420-2990
Organisation at this address: Pacific Mental Health Clinic Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-08-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon