Healthcare Provider Details

I. General information

NPI: 1497583637
Provider Name (Legal Business Name): HONU HEALING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3575 DONALD ST STE 640
EUGENE OR
97405-4775
US

IV. Provider business mailing address

PO BOX 5367
EUGENE OR
97405-0367
US

V. Phone/Fax

Practice location:
  • Phone: 808-500-6352
  • Fax: 808-470-5372
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE WONG
Title or Position: OWNER, SOLE PRACTITIONER
Credential: LCSW
Phone: 808-500-6352