Search › Oregon › 106H00000X
Tierney Hodge, MED, MA
NPI 1073285946 · on the registry since 2021 · sole proprietor
Practice
- Address
- 4531 Se Belmont St Ste 102
Portland, OR 97215 - Phone
- (503) 334-2533
- Organisation at this address
- Awake Together
Wild Hearts Pdx
Jon Fox, Ms, Lpc
Ivana Maclay Llc
Lightshinepdx LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 184
Additional practice sites
- 6118 Se Belmont St Ste 406, Portland, OR
- 17250 Ne Lewis Rogers Ln, Newberg, OR
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 101Y00000X
- Licence states on file
- WA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon