Wellformed AI

NPI 1730452186 · live from the CMS NPI Registry

Israa Al-Hasani, CSWA

Social Worker in Portland, OR. National Provider Identifier 1730452186, active.

NPI record

NPI1730452186 Type 1 · individual
StatusActive
Primary specialtySocial Worker 104100000X
Practice location605 Se Cesar E Chavez Blvd, Portland, OR 97214
Practice phone503-231-7480
EnumeratedFebruary 15, 2012
Last updatedJuly 21, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Mental Health101YM0800X—
Social Worker primary104100000XA5256 (OR)

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