Hacopian, Mary
Hacopian, Mary is an individual health care provider with primary practice located at 10700 Sw Beaverton Hillsdale Hwy Ste 450 , Beaverton OR 97005-4736. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Hacopian, Mary can be contacted via phone (503) 928-6624.Contact Information
Primary practice address
10700 Sw Beaverton Hillsdale Hwy Ste 450
Beaverton OR 97005-4736
Phone: (503) 928-6624
Fax: (866) 803-2248
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X |
Profile Details
NPI number | 1295878239 |
---|---|
LBN Legal business name | Hacopian, Mary |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 15th, 2007 |
Last updated | Sep 28th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295878239 | NPPES |
Oregon | MEDICAID | 164936 | |
Oregon | Other | 0000WDBCH |
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