Provider Demographics
NPI:1134996820
Name:PINANGO, FIORELLA (MS, LMFT)
Entity type:Individual
Prefix:
First Name:FIORELLA
Middle Name:
Last Name:PINANGO
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9701 SE JOHNSON CREEK BLVD APT H201
Mailing Address - Street 2:
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97086-3687
Mailing Address - Country:US
Mailing Address - Phone:817-821-7629
Mailing Address - Fax:
Practice Address - Street 1:9701 SE JOHNSON CREEK BLVD APT H201
Practice Address - Street 2:
Practice Address - City:HAPPY VALLEY
Practice Address - State:OR
Practice Address - Zip Code:97086-3687
Practice Address - Country:US
Practice Address - Phone:817-821-7629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-04
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA155023106H00000X
OR10036706163W00000X
CA95176606163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No163W00000XNursing Service ProvidersRegistered Nurse