Mihara, Roberta L
Mihara, Roberta L is an sole proprietor health care provider with primary practice located at 3024 Ne 63Rd Ave , Portland OR 97213-4510. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Mihara, Roberta L can be contacted via phone (503) 288-5300.Contact Information
Primary practice address
3024 Ne 63Rd Ave
Portland OR 97213-4510
Phone: (503) 288-5300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 1690 | Oregon |
Profile Details
| NPI number | 1043352289 |
|---|---|
| LBN Legal business name | Mihara, Roberta L |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Jul 20th, 2007 - about 17 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 | 1043352289 | NPPES |
| Oregon | MEDICAID | 028298 |
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