Provider Demographics
NPI:1801126032
Name:ONO, MARIKO APRIL
Entity type:Individual
Prefix:
First Name:MARIKO
Middle Name:APRIL
Last Name:ONO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARIKO
Other - Middle Name:APRIL
Other - Last Name:ONO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:10180 SE SUNNYSIDE RD
Mailing Address - Street 2:
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015-8970
Mailing Address - Country:US
Mailing Address - Phone:503-751-1995
Mailing Address - Fax:503-571-8683
Practice Address - Street 1:10180 SE SUNNYSIDE RD
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-8970
Practice Address - Country:US
Practice Address - Phone:503-751-1995
Practice Address - Fax:503-571-8683
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-11
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25892302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization