Healthcare Provider Details

I. General information

NPI: 1659201325
Provider Name (Legal Business Name): HIRAYA COLLECTIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7340 SW HUNZIKER RD STE 100
TIGARD OR
97223-2303
US

IV. Provider business mailing address

5441 S MACADAM AVE # 4367
PORTLAND OR
97239-6106
US

V. Phone/Fax

Practice location:
  • Phone: 503-563-0105
  • Fax:
Mailing address:
  • Phone: 503-563-0105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: HANNAH FLECKENSTEIN
Title or Position: OWNER
Credential: LPC
Phone: 503-563-0105