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NPI 1437875556 · live from the CMS NPI Registry

Shanti Akayla, LCSW,

Social Worker, Clinical in Portland, OR. National Provider Identifier 1437875556, active.

NPI record

NPI1437875556 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location5228 Ne Hoyt St Bldg B, Portland, OR 97213
Practice phone503-215-4860
Mailing addressPo Box 3158, Portland, OR 97208
EnumeratedOctober 19, 2022
Last updatedApril 21, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700XL5765 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.