Provider Demographics
NPI:1962670612
Name:ZAHAVI, LINDA (MA, NCC, ATR-BC, LMT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:ZAHAVI
Suffix:
Gender:F
Credentials:MA, NCC, ATR-BC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15110 BOONES FERRY RD STE 160
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-3451
Mailing Address - Country:US
Mailing Address - Phone:503-231-8895
Mailing Address - Fax:
Practice Address - Street 1:15110 BOONES FERRY RD STE 160
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035
Practice Address - Country:US
Practice Address - Phone:503-231-8895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-15
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NONE101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health