Healthcare Provider Details

I. General information

NPI: 1497677900
Provider Name (Legal Business Name): HANA LYMAN MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 SE SUNNYBROOK BLVD STE 270
CLACKAMAS OR
97015-5766
US

IV. Provider business mailing address

5441 S MACADAM AVE
PORTLAND OR
97239-3815
US

V. Phone/Fax

Practice location:
  • Phone: 971-352-6971
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberA17886
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: