Provider Demographics
NPI:1831085125
Name:HALL, NANCY NALBANDIAN (CSWA)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:NALBANDIAN
Last Name:HALL
Suffix:
Gender:F
Credentials:CSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 75
Mailing Address - Street 2:
Mailing Address - City:WASHOUGAL
Mailing Address - State:WA
Mailing Address - Zip Code:98671-0075
Mailing Address - Country:US
Mailing Address - Phone:661-717-8537
Mailing Address - Fax:
Practice Address - Street 1:5100 S MACADAM AVE STE 400
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3854
Practice Address - Country:US
Practice Address - Phone:521-150-3244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORA14696101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health