Provider Demographics
NPI:1548832132
Name:HALE, WILLIAM KENT II (LMFT)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:KENT
Last Name:HALE
Suffix:II
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:WILL
Other - Middle Name:
Other - Last Name:HALE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:9900 SW GREENBURG RD STE 200
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-5502
Mailing Address - Country:US
Mailing Address - Phone:971-430-5017
Mailing Address - Fax:
Practice Address - Street 1:9900 SW GREENBURG RD STE 200
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-5502
Practice Address - Country:US
Practice Address - Phone:971-430-5017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-13
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT2859101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health