Active NPI
Mirna Pani
- Counselor
- Portland, OR
National Provider Identifier
1356746101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 10011 SE Division St
#305
Portland, OR 97266-1351 - Phone
- (503) 335-5975
- NPI assigned
- Oct 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
10011 SE Division St
#305
Portland, OR 97266-1351
Mailing address
4123 Douglas Way
Lake Oswego, OR 97035-3436
Phone (503) 998-8249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413936000000",
"number": "1356746101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4123 DOUGLAS WAY",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970353436",
"telephone_number": "503-998-8249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10011 SE DIVISION ST",
"address_2": "#305",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972661351",
"telephone_number": "503-335-5975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANI",
"first_name": "MIRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-22",
"last_updated": "2014-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.