GROWTH ENDEAVOR PC (NPI# 1053594978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053594978 |
| Entity Type | Organization |
| Organization Name | GROWTH ENDEAVOR PC |
| Other Organization Name | SOPHIA HANG, PSY. D. (SOLE PROPRIETOR) |
| Practice Address |
6935 S.w. Hall Blvd Beaverton OR 97008 |
| Practice Telephone | 5036422086 |
| Practice Fax Number | 5086493628 |
| Mailing Telephone | 5036422086 |
| Mailing Fax Number | 5056493628 |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2008-07-31 |
| Authorized Official Name | SOPHA HANG (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 5036422086 |
| Authorized Official Credential | PSY.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 1358 | OR | Agencies |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
#1358 | OR | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Sophia Hang, Psy. D. (sole proprietor) | Other Name - Individual/Organization |
| Street Address |
6935 S.W. HALL BLVD |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972136638 | Kelly Mitchell | Counselor | 6600 Sw 105th Ave Suite 120, Beaverton, OR 97008 | 2020-02-20 |
| 1700305315 | Heather Denise Glenn | Counselor | 6700 Sw 105th Avenue, Suite 203, Beaverton, OR 97008 | 2017-09-14 |
| 1649798265 | Timothy Wilkins | Counselor | 8285 Sw Nimbus Ave #148, Beaverton, OR 97008 | 2017-09-04 |
| 1962920751 | West End Surgical, LLC | Clinic/Center | 9405 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-09-01 |
| 1073054714 | University Professional Services | Durable Medical Equipment & Medical Supplies | 9317 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-03-14 |
| 1508311424 | Mitra Gaspeed | Dental Hygienist | 8615 Sw Thoroughbred Pl., Beaverton, OR 97008 | 2016-08-20 |
| 1740521988 | Donna Louise Grenier | Registered Nurse | 1413 E St, Independence, OR 97008 | 2013-03-13 |
| 1508105735 | Mary Elizabeth Smith | Specialist/Technologist, Other | 11855sw Ridgecrest Dr, #209, Beaverton, OR 97008 | 2013-02-07 |
| 1629315551 | Adelfino J Zuriaga | Massage Therapist | 11985 Sw Camden Ln, Beaverton, OR 97008 | 2013-01-11 |
| 1760738330 | Lih-wern Wang | Pharmacist | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008 | 2012-07-31 |
| Find all providers in zip 97008 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659916401 | Northwest Child Assessment, LLC | Psychologist | 8228 Sw 171st Pl, Beaverton, OR 97007-6787 | 2019-11-14 |
| 1801445952 | Tamara Tasker | Psychologist | 9244 Sw 149th Ave, Beaverton, OR 97007-8558 | 2019-09-10 |
| 1598047045 | Dianna Harris | Psychologist | 10700 Sw Beaverton Hillsdale Hwy Ste 460, Beaverton, OR 97005-4736 | 2011-09-11 |
| 1457529190 | Laurel Ellen Hughes | Psychologist | 13725 Sw Berthold St, Beaverton, OR 97005-4353 | 2008-02-15 |
| 1538364617 | Kathryn Elizabeth Marshall | Psychologist | 1140 Sw 160th Ave, Beaverton, OR 97006-5055 | 2007-06-18 |
| 1417174020 | Joe D Wood Jr. | Psychologist | 11160 Sw Wood Duck Pl, Beaverton, OR 97007-8295 | 2007-04-18 |
| 1003936196 | Allan F. Chino | Psychologist | 195 Sw 144th Ave, Beaverton, OR 97006-5954 | 2007-03-30 |
| 1508993809 | Erica Heather Vo | Psychologist | 6107 Sw Murray Blvd # 306, Beaverton, OR 97008-4421 | 2007-02-27 |
| 1356499008 | Steven Malone | Psychologist | 3800 Sw Cedar Hills Blvd Ste 229, Beaverton, OR 97005-4761 | 2007-01-08 |
| 1396850129 | Deborah Lee Winer | Psychologist | 10700 S.w. Beaverton-hillsdale Highway, Suite 500, Beaverton, OR 97005-3037 | 2006-08-20 |
| Find all providers in BEAVERTON | ||||
Please comment or provide details below to improve the information on GROWTH ENDEAVOR PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.