Provider Demographics
NPI:1174782064
Name:SAGGAF, YUSUF HASHIM (QMHA)
Entity type:Individual
Prefix:MR
First Name:YUSUF
Middle Name:HASHIM
Last Name:SAGGAF
Suffix:
Gender:M
Credentials:QMHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:872 N 56TH ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97478-6817
Mailing Address - Country:US
Mailing Address - Phone:541-606-5946
Mailing Address - Fax:
Practice Address - Street 1:622 N CLOVERLEAF LOOP
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-1167
Practice Address - Country:US
Practice Address - Phone:503-238-0769
Practice Address - Fax:541-844-1051
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health