Active NPIIndividual provider

Paul Ajak

Counselor, Mental Health in Portland, Oregon

NPI Number1578969077
Practice location
2409 SE 139TH Ave, Portland, OR 97233-2041
Fax
971-302-6257
Last updated
February 18, 2016

Paul Ajak is a Counselor, Mental Health based in Portland, OR. The NPI number for Paul Ajak is 1578969077. The current practice location address is 2409 SE 139TH Ave, Portland, OR 97233-2041 and the office can be reached by phone at 971-302-6256 and by fax at 971-302-6257. The NPI was assigned on November 10, 2014 and the record was last updated in NPPES on February 18, 2016.

●Provider Profile Details

NPI Number
1578969077
Provider Name
Paul Ajak
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Enumeration Date
November 10, 2014
Last Update Date
February 18, 2016
NPI Status
Active

◉Business Practice Location Address

Address
2409 SE 139TH Ave
Portland, OR 97233-2041
State
Oregon
ZIP
97233-2041
Country
US
Phone Number
971-302-6256
Fax Number
971-302-6257

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✉Business Mailing Address

Address
3587 Heathrow Way
Medford, OR 97504-4004
City
Medford
State
OR
ZIP
97504-4004
Phone Number
971-271-8952

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Mental Health101YM0800XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Paul Ajak?

The NPI number of Paul Ajak is 1578969077. It was assigned on November 10, 2014 and is currently active in the NPPES registry.

What is the specialty of Paul Ajak?

Paul Ajak is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Paul Ajak practice?

The practice location is 2409 SE 139TH Ave, Portland, OR 97233-2041. The office can be reached at 971-302-6256 (phone) or 971-302-6257 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578969077 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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