MIHO HATANAKA


Address: 6018 Se Stark St, Portland, OR 97215
Phone: 2012306848

MIHO HATANAKA (NPI# 1316484355) 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) 1316484355
Entity Type Individual
Full Name MIHO HATANAKA
Credential RDN, LD
Practice Address 6018 Se Stark St
Portland
OR 97215
Mailing Address 6018 Se Stark St
Portland
OR 97215-1990
Practice Telephone 2012306848
Mailing Telephone 2012306848
Enumeration Date 2017-01-29
Last Update Date 2020-01-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 10189410 OR Dietary & Nutritional Service Providers
N 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
10215 Se Pine St Apt B204, Portland, OR 97216 2012306848
159 14th St, Cresskill, NJ 076261805 2012306848

Office Location

Street Address 6018 SE STARK ST
City PORTLAND
State OR
Zip Code 97215

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003908120 Kimberly Susan Shotz Acupuncturist 6018 Se Stark St, Ste 103, Portland, OR 97215-1990 2006-09-28
1174169890 Pacnorthwest Counseling Clinic/Center 6018 Se Stark St, Portland, OR 97215-1990 2019-11-19
1619520566 Renee Barnett Counselor 6018 Se Stark St, Portland, OR 97215-1990 2019-07-19
1700365541 Elizabeth Lenkeit Hoke Marriage & Family Therapist 6018 Se Stark St, Portland, OR 97215-1990 2018-08-13
1770956484 Charlotte Elisabeth Kahler Massage Therapist 6018 Se Stark St, Suite 103, Portland, OR 97215-1990 2015-11-03
1518335280 Amia Huang Psychologist 6018 Se Stark St, Portland, OR 97215-1990 2015-09-10
1710355755 Kimberly M Crow Counselor 6018 Se Stark St, Portland, OR 97215-1990 2015-09-08
1285016451 Tabor View Health and Wellness Acupuncturist 6018 Se Stark St, Portland, OR 97215-1990 2015-06-24
1205226107 Kelly Corey Shaw Acupuncturist 6018 Se Stark St, Portland, OR 97215-1990 2015-01-29
1003206095 Aaron M Guzik Chiropractor 6018 Se Stark St, Portland, OR 97215-1990 2015-01-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952926339 Lisa Silverman Counselor 1835 Se 50th Avenue, Portland, OR 97215 2020-06-11
1003381195 Darcie Leigh Juarez Naturopath 6118 Se Belmont St Ste 407, Portland, OR 97215 2018-10-04
1740710581 Riley W Protz Pharmacist 5544 E Bursnide, Portland, OR 97215 2017-06-14
1114459088 Genevieve Kathleen Shields Registered Nurse 5451 Se Belmont, Suite 100, Portland, OR 97215 2017-03-30
1205282514 Aiyana Lucas Social Worker 4531 Se Belmont St Ste 310b, Portland, OR 97215 2016-05-05
1508223918 Catherine Ann Chapman Counselor 422 Se 79th Street, Suite 202, Portland, OR 97215 2016-01-15
1518338854 Cody Begdorian Acupuncturist 4220 Se Stark, Portland, OR 97215 2015-10-13
1588040653 Corinne Leblanc Acupuncturist 2305 Se 50th Ave., Suite 200, Portland, OR 97215 2015-07-30
1942688544 Casey Lynne Peters Occupational Therapist 6040 Se Belmont S, Portland, OR 97215 2015-05-14
1457743783 David Alexander Gambill Counselor 8041 E Burnside St., Portland, OR 97215 2015-02-24
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609483064 Alayna Louise Hutchinson Dietitian, Registered 5258 Ne Cleveland Ave, Portland, OR 97211-2614 2020-09-29
1558973370 Kianna Aumiller Dietitian, Registered 2167 Sw Yamhill St, Portland, OR 97205-1417 2020-08-21
1255943189 Lisa Gilmore Dietitian, Registered 5214 Sw View Point Ter, Portland, OR 97239-3940 2020-08-21
1346852365 Amanda Kristine Fredrickson Dietitian, Registered 3611 Se 64th Ave., Portland, OR 97206 2020-08-20
1770192353 Jenice A Powell Dietitian, Registered 104 Se 30th Pl, Portland, OR 97214-1915 2020-07-29
1386253698 Margaret Senic Dietitian, Registered 1745 Sw Huntington Ave, Portland, OR 97225-4751 2020-07-23
1881212272 Emily Ryder Dietitian, Registered 624 Nw 20th Ave Apt 1, Portland, OR 97209-1219 2020-07-11
1427686211 Veena M Manohar Dietitian, Registered 1308 Ne Dekum St, Portland, OR 97211-4180 2020-03-29
1841825056 Allison Leigh Williams Dietitian, Registered 7106 Se Raymond Ct, Portland, OR 97206-4439 2020-03-08
1114557782 House Nine LLC Dietitian, Registered 1413 Se Hawthorne Blvd # 1, Portland, OR 97214-3640 2020-01-22
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Competitor

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City PORTLAND
Zip Code 97215

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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