Alberta Koch Hattem, PHD

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T0999 Issued in OR

Practice address

1319 SW College St
Suite 9
Portland, OR 97201-3159

Phone

(919) 928-0879

NPI assigned

Jul 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Dr. Abbi Hattem Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1922038769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 SW COLLEGE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972013159",
            "telephone_number": "919-928-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 SW COLLEGE ST",
            "address_2": "SUITE 9",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972013159",
            "telephone_number": "919-928-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTEM",
        "first_name": "ALBERTA",
        "middle_name": "KOCH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "LMFT410",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFCC19550",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "11566",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBI",
            "last_name": "HATTEM",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mark Allen Hathaway
• Nicole Christine Hathaway, MA, CCC-SLP
• Norma Hathaway, RN
• Sharon M Hatrak
• Amber Jo Hatt, LCSW
• Barbara D. Hatten, M.S., R.D.
• Kelly Dawn Hattershide
• Crystal Lynn Lokalani Hatton
• Greta Hau
• Jill Elizabeth Hauben, MSW, LCSW

• Marriage & Family Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.