Individual
EMI HANAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5331 SW MACADAM AVE STE 363, PORTLAND, OR 97239-3860
(503) 351-4932
Mailing address
9239 SW 8TH AVE, PORTLAND, OR 97219-4733
(503) 351-4932
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C4293
OR
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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