Provider Demographics
NPI:1346739398
Name:OMARI, FLORENCE NZANIYE (QMHA)
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:NZANIYE
Last Name:OMARI
Suffix:
Gender:F
Credentials:QMHA
Other - Prefix:
Other - First Name:FLORENCE
Other - Middle Name:
Other - Last Name:NZANIYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 SW FLORENCE AVE APT E2
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97080-7127
Mailing Address - Country:US
Mailing Address - Phone:503-573-9464
Mailing Address - Fax:
Practice Address - Street 1:8383 NE SANDY BLVD STE 440
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97220-4986
Practice Address - Country:US
Practice Address - Phone:971-373-4041
Practice Address - Fax:503-373-5285
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-04
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health