Hathaway, Anneke P
Hathaway, Anneke P is an sole proprietor health care provider with primary practice located at 5050 Ne Hoyt St Suite 422, Portland OR 97213-2991. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hathaway, Anneke P can be contacted via phone (360) 263-5406.Contact Information
Primary practice address
5050 Ne Hoyt St Suite 422
Portland OR 97213-2991
Phone: (360) 263-5406
Fax: (360) 263-5406
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 636 | Oregon |
Profile Details
NPI number | 1578674115 |
---|---|
LBN Legal business name | Hathaway, Anneke P |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 31st, 2006 |
Last updated | Jul 9th, 2007 - about 18 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 | 1578674115 | NPPES |
Oregon | Other | 208446 | VALUE OPTIONS |
Oregon | MEDICAID | 111955 | VALUE OPTIONS |
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