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1558827345 NPI number — JOSETTE MAKANANI DAVIS LPC

NPI Number: 1558827345
Health Care Provider/Practitioner: JOSETTE MAKANANI DAVIS LPC

Information about “1558827345” NPI (JOSETTE MAKANANI DAVIS LPC) exists in 1558827345 in HTML format HTML  |  1558827345 in plain Text format TXT  |  1558827345 in PDF (Portable Document Format) PDF  |  1558827345 in an XML format XML  formats.

NPI Number : 1558827345 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558827345",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAVIS",
    "FirstName": "JOSETTE",
    "MiddleName": "MAKANANI",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MILLS",
    "OtherFirstName": "JOSETTE",
    "OtherMiddleName": "MAKANANI",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LPCA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1500 NW BETHANY BLVD STE 320",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BEAVERTON",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97006-5238",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "503-567-3260",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1500 NW BETHANY BLVD STE 320",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BEAVERTON",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97006-5238",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "503-567-3260",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/16/2019",
    "LastUpdateDate": "04/16/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "C8107",
        "LicenseNumberStateCode": "OR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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