Provider Demographics
NPI:1700599297
Name:MALAMA COUNSELING
Entity type:Organization
Organization Name:MALAMA COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMI JEAN
Authorized Official - Middle Name:MIYUKI
Authorized Official - Last Name:SAKAMOTO SANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA,LPC
Authorized Official - Phone:503-469-8406
Mailing Address - Street 1:4800 SW GRIFFITH DR STE 130
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-8727
Mailing Address - Country:US
Mailing Address - Phone:503-568-1022
Mailing Address - Fax:503-469-1276
Practice Address - Street 1:4800 SW GRIFFITH DR STE 130
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-8727
Practice Address - Country:US
Practice Address - Phone:503-568-1022
Practice Address - Fax:503-469-1276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-30
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty