Individual ProviderZoha AhmadPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011(503) 494-3442PECOS EnrollmentBased on the most recent information from CMS, provider Zoha Ahmad is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1336890896Provider TypeIndividualFull NameAhmad, ZohaGenderFemaleSole ProprietorNoEnumeration Date1/15/2022Last Updated6/8/2023Contact InformationPractice LocationPractice Address3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011Phone(503) 494-3442Fax(503) 494-5330Mailing LocationMailing Address3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011Phone(503) 494-3442Fax(503) 494-5330Provider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA213478OregonCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerPennsylvaniaProvider IdentifiersIDDescriptionIssuerID000DescriptionMedicaidIssuerUnlistedOregon