Active NPI
Gerald Mark Haram, MS
- Mental Health Counselor
- Clackamas, OR
National Provider Identifier
1629183736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- OR C1266
- Practice address
- 10163 SE Sunnyside Rd
Ste 490
Clackamas, OR 97015-5743 - Phone
- (503) 513-4400
- NPI assigned
- Aug 20, 2006
- Last updated
- Jul 10, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | OR C1266 | OR | Primary |
Addresses
Primary practice location
10163 SE Sunnyside Rd
Ste 490
Clackamas, OR 97015-5743
Mailing address
10163 SE Sunnyside Rd
Ste 490
Clackamas, OR 97015-5743
Phone (503) 513-4400
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OR C1266 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1629183736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10163 SE SUNNYSIDE RD",
"address_2": "STE 490",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155743",
"telephone_number": "503-513-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10163 SE SUNNYSIDE RD",
"address_2": "STE 490",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155743",
"telephone_number": "503-513-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARAM",
"first_name": "GERALD",
"middle_name": "MARK",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "OR C1266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.