Individual provider · Type 1 NPI

Hannah Lynn Raven-Fish

Mental Health Counselor · Fairview, OR

NPI number 1003709668 Active

Practice location

1945 NE 205th Ave
Fairview, OR 97024-9622

Fax (503) 492-4651

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003709668

Hannah Lynn Raven-Fish's National Provider Identifier is 1003709668, issued on Jun 2, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairview, OR. The record was last updated on Jun 2, 2025.