Provider Demographics
NPI:1497023485
Name:OKADA, TARYN AYAKO OYADOMARI (LSW)
Entity Type:Individual
Prefix:MRS
First Name:TARYN
Middle Name:AYAKO OYADOMARI
Last Name:OKADA
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3515 HARDING AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-2412
Mailing Address - Country:US
Mailing Address - Phone:808-735-6981
Mailing Address - Fax:
Practice Address - Street 1:3515 HARDING AVE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-2412
Practice Address - Country:US
Practice Address - Phone:808-735-6981
Practice Address - Fax:808-735-6984
Is Sole Proprietor?:No
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1721104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker