HANNAH IRIS EDMISTON


Address: 5840 Hafez Ln Ne, Albany, OR 97322-4429
Phone: 5419740336

HANNAH IRIS EDMISTON (NPI# 1114362886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114362886
Entity Type Individual
Full Name HANNAH IRIS EDMISTON
Practice Address 5840 Hafez Ln Ne
Albany
OR 97322-4429
Practice Telephone 5419740336
Mailing Telephone 5419740336
Enumeration Date 2013-05-07
Last Update Date 2013-05-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 5840 HAFEZ LN NE
City ALBANY
State OR
Zip Code 97322-4429

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1689906455 Sandy Janiszewski Registered Nurse 1970 4th Ave. Se, Ste 120, Albany, OR 97322 2010-02-04
1841527066 Karina Leonore Towers Speech-Language Pathologist 5353 Columbus Street Se, Albany, OR 97322 2009-11-09
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1790932952 Ramel C Romero Physical Therapist 5353 Colombus St Se, Albany, OR 97322 2008-08-19
1023275492 Michael James Hearing Instrument Specialist 1610 9th Av. Se, Albany, OR 97322 2008-05-21
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1821636713 Schae Premdas-auffant Counselor 4 Palisades Dr Ste 205, Albany, NY 12205-1449 2019-12-11
1962047282 John N Kane Counselor 443 State St, Albany, NY 12203-1003 2019-11-11
1063054021 Melissa A Kovelman Counselor 10 Barnet St, Albany, NY 12208-2402 2019-10-11
1841853660 Tanya M Henderson Counselor 90 S Swan St Ste 303, Albany, NY 12210-2105 2019-04-17
1861055717 Nikita Williams Counselor 422 Sand Creek Rd Apt 201, Albany, NY 12205-2722 2019-04-16
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Competitor

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City ALBANY
Zip Code 97322

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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