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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578674115 NPPES
Oregon Other 208446 VALUE OPTIONS
Oregon MEDICAID 111955 VALUE OPTIONS

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