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NPI Code Detail

MEDICARE: MRS. HOPE MARIE PERINI

MEDICARE:  MRS. HOPE MARIE PERINI
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor
3103K00000XBehavior Analyst

General Provider Information

NPI Number : 1154627875
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HOPE MARIE PERINI
Provider Business Mailing Address
First Line : 6111 SE SIERRA ST
Second Line :
City : HILLSBORO
State : OR
Zip : 97123-2960
Country : US
Telephone Number : 503-507-5790
Fax Number :
Provider Business Practice Location Address
First Line : 2840 S JONES BLVD
Second Line : STE #3
City : LAS VEGAS
State : NV
Zip : 89146-5653
Country : US
Telephone Number : 503-507-5790
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2011
Last Update Date : 01/27/2011

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Directions to “ MRS. HOPE MARIE PERINI ” Practice Location

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