Provider Demographics
NPI:1841471679
Name:RILEY, AMIKO HIRAIWA (MA, LMFT)
Entity type:Individual
Prefix:MS
First Name:AMIKO
Middle Name:HIRAIWA
Last Name:RILEY
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10060 NW WILARK AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97231-1086
Mailing Address - Country:US
Mailing Address - Phone:503-686-0388
Mailing Address - Fax:
Practice Address - Street 1:325 NW 21ST AVE STE 204
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-1180
Practice Address - Country:US
Practice Address - Phone:503-686-0388
Practice Address - Fax:503-462-7941
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT0678106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist