NPIMap

Organization Active NPI

Growth Endeavor PC

  • Clinical Psychologist
  • Beaverton, OR
National Provider Identifier
1053594978
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
#1358 Issued in OR
Legal business name
GROWTH ENDEAVOR PC
Practice address
6935 S.W. Hall Blvd
Beaverton, OR 97008
Phone
(503) 642-2086
Fax
(508) 649-3628
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sopha Hang, PSY.DNPI 1992926612
Title
Licensed Clinical Psychologist
Phone
(503) 642-2086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X #1358 OR Primary
Community/Behavioral Health Agency 251S00000X 1358 OR

Addresses

Primary practice location

6935 S.W. Hall Blvd
Beaverton, OR 97008

Mailing address

6935 S.W. Hall Blvd
Beaverton, OR 97008
Phone (503) 642-2086

Other names 1

  • Sophia Hang, Psy. D. (sole proprietor) Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1053594978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6935 S.W. HALL BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97008",
            "telephone_number": "503-642-2086",
            "fax_number": "505-649-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6935 S.W. HALL BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97008",
            "telephone_number": "503-642-2086",
            "fax_number": "508-649-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWTH ENDEAVOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "HANG",
        "authorized_official_first_name": "SOPHA",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "503-642-2086",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "#1358",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "1358",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sophia Hang, Psy. D. (sole proprietor)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.