KATHARINE ELIZABETH FAZAL


Address: 712 Se Hawthorne Blvd, Portland, OR 97214-3538
Phone: 5039542188

KATHARINE ELIZABETH FAZAL (NPI# 1689909301) 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) 1689909301
Entity Type Individual
Full Name KATHARINE ELIZABETH FAZAL
Credential LMFT
Practice Address 712 Se Hawthorne Blvd
Portland
OR 97214-3538
Mailing Address 712 Se Hawthorne Blvd Ste 100
Portland
OR 97214-3538
Practice Telephone 5039542188
Mailing Telephone 5039542188
Enumeration Date 2009-10-14
Last Update Date 2017-01-03
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 712 SE HAWTHORNE BLVD
City PORTLAND
State OR
Zip Code 97214-3538

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528413176 Family Ground Counseling LLC Community/Behavioral Health 712 Se Hawthorne Blvd, Portland, OR 97214-3538 2016-05-02
1306210307 Amy Colleen Sanders Counselor 712 Se Hawthorne Blvd, Portland, OR 97214-3538 2015-11-15
1891124087 Julianne R Chapman Social Worker 712 Se Hawthorne Blvd, Portland, OR 97214-3538 2013-11-07
1407284953 Bridge City Counseling LLC Counselor 712 Se Hawthorne Blvd, Suite 100, Portland, OR 97214-3538 2013-10-19
1114364205 Shelley Mclendon Counselor 712 Se Hawthorne Blvd, Suite 100, Portland, OR 97214-3538 2013-05-29
1013292630 Ashley Sullivan Counselor 712 Se Hawthorne Blvd, Portland, OR 97214-3538 2011-10-14
1114218880 Priscilla Klockner Counselor 712 Se Hawthorne Blvd, Suite 100, Portland, OR 97214-3538 2011-04-28
1598071805 Jessica Teresa Loehndorf Hutchison Marriage & Family Therapist 712 Se Hawthorne Blvd, Suite 100, Portland, OR 97214-3538 2010-08-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538773155 Mamie Nzigire Zagabe Peer Specialist 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 2020-09-01
1336772243 Alexandra Mcbryde Acupuncturist 959 Se Division St, #315, Portland, OR 97214 2020-02-19
1356973770 Laura Kille Counselor Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 2020-02-05
1639616436 Erin Elizabeth Weaver Acupuncturist 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 2017-01-31
1780126045 Katherine Aravamudan, Lpc, LLC Community/Behavioral Health 1312 E. Burnside Street, Portland, OR 97214 2016-11-17
1003358441 Michelle Jean Meadows Massage Therapist 2804 Se Lincoln St, Portland, OR 97214 2016-11-16
1629429311 Stephanie Tolentino Counselor 605 Se Cesar E Chavez Blvd., Portland, OR 97214 2016-06-24
1790141166 Marian Iris Dixon Massage Therapist 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 2016-01-14
1194194589 Lutheran Community Services Northwest Community/Behavioral Health 605 Se Cesar E Chavez Bld, Portland, OR 97214 2015-09-16
1497123566 Michele R. Stokes Specialist 2311 East Burnside B1, Portland, OR 97214 2015-09-08
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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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336748243 Jessica M Feinsmith Counselor 6530 N Williams Ave, Portland, OR 97217-1924 2020-10-21
1720687809 Karissa Myriah Gregory Counselor 14255 Se Rupert Dr, Portland, OR 97267-1211 2020-10-20
1528667904 Zuzana Sakova Counselor 819 Se Morrison St Ste 225, Portland, OR 97214-6311 2020-10-18
1891302238 Nina Landey Counselor 120 Se 53rd Ave, Portland, OR 97215-1204 2020-09-29
1902412166 Peter H Addy LLC Counselor 524 N Tillamook St Ste 102b, Portland, OR 97227-1993 2020-09-22
1326654765 Naomi Painter Counselor 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 2020-09-21
1750996104 Sara Fuller Counselor 3016 Ne 70th Ave, Portland, OR 97213-5802 2020-09-12
1114532983 Matthew W Cronin Counselor 1122 Ne 122nd Ave Ste 200, Portland, OR 97230-2081 2020-09-09
1447865381 Luke Colbourn Counselor 2705 E Burnside St Ste 206, Portland, OR 97214-1768 2020-09-08
1710599774 Abigail Kathryn Ernst Counselor 1020 Sw Taylor St # 100, Portland, OR 97205-2543 2020-08-20
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Competitor

Search similar providers

City PORTLAND
Zip Code 97214

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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