HANNA MARY JAGOW MA LPC NPI 1952436008

NPI Information

NPI: 1952436008
Provider Name: HANNA MARY JAGOW, MA, LPC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1205 NE BROADWAY
PORTLAND, OR
ZIP 97232
Phone: (503) 281-3318
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Hanna Mary Jagow, MA, LPC is a counselor in Portland, OR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Hanna Mary Jagow, MA, LPC NPI is 1952436008. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1205 NE BROADWAY
PORTLAND, OR
ZIP 97232-233
Phone: (503) 281-3318
Fax: (503) 281-0937

The enumeration date for this NPI number is 2/22/2007 and was last updated on 10/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C2185	OTHER	OREGON	PROFESSIONAL COUNSELOR LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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