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JONTAE MALIK HARDAWAY
NPI 1891627659
Counselor - Mental Health in Portland, OR

Active since June 03, 2026
4850 SE WOODSTOCK BLVD APT 541, PORTLAND, OR 97206(503) 701-7079 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jontae Malik Hardaway NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONTAE MALIK HARDAWAY (NPI 1891627659) is an individual mental health provider in Portland, Oregon, licensed in Oregon (R12434) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1891627659
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJONTAE MALIK HARDAWAY
Location Address4850 SE WOODSTOCK BLVD APT 541Portland, OR 97206-6143
Mailing Address4850 Se Woodstock Blvd Apt 541Portland, OR 97206-6143 · (503) 701-7079
Phone(503) 701-7079
Sole ProprietorYes
Enumeration DateJune 3, 2026
NPPES CertifiedJune 3, 2026
✔ NPI 1891627659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · R12434
4850 SE WOODSTOCK BLVD APT 541, Portland, OR 97206
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TY WARNER
Counselor (Mental Health)
4850 SE WOODSTOCK BLVD APT 541
PORTLAND, OR 97206
Multnomah County (509) 981-2224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jontae Hardaway's NPI number?

The NPI number for Jontae Hardaway is 1891627659. It was assigned to this individual provider in the NPPES registry on June 3, 2026.

Where is Jontae Hardaway located?

Jontae Hardaway practices at 4850 SE Woodstock Blvd Apt 541, Portland, OR 97206. The listed phone number is (503) 701-7079.

What is Jontae Hardaway's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jontae Hardaway was last updated on June 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.