Provider Demographics
NPI:1154627875
Name:PERINI, HOPE MARIE
Entity Type:Individual
Prefix:MRS
First Name:HOPE
Middle Name:MARIE
Last Name:PERINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6111 SE SIERRA ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-2960
Mailing Address - Country:US
Mailing Address - Phone:503-507-5790
Mailing Address - Fax:
Practice Address - Street 1:2840 S JONES BLVD
Practice Address - Street 2:STE #3
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5653
Practice Address - Country:US
Practice Address - Phone:503-507-5790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-27
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst