MEDICARE: NARROWING THE GAP, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1154154599
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NARROWING THE GAP, LLC

Provider Business Mailing Address
First Line	:	4150 N WILLIAMS AVE APT 306
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97217-2968
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4150 N WILLIAMS AVE APT 306
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97217-2968
Country	:	US
Telephone Number	:	971-309-1780
Fax Number	:	971-236-0580

Authorized Official
Title or Position	:	OWNER
Name	:	ISRAA HASANI
Credential	:	MSW, LCSW
Telephone Number	:	971-309-1780

Provider Enumeration Date	:	08/21/2024
Last Update Date	:	04/18/2026

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