1699802991 NPI number — MRS. MARION S FRANC MS LPC CADCII GGACII

Table of content: MRS. MARION S FRANC MS LPC CADCII GGACII (NPI 1699802991)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699802991 NPI number — MRS. MARION S FRANC MS LPC CADCII GGACII

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRANC
Provider First Name:
MARION
Provider Middle Name:
S
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS LPC CADCII GGACII
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MURRAY OYE
Provider Other First Name:
MARION
Provider Other Middle Name:
S
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1699802991
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/17/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9139 SW 23RD DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PDX
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97219
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
503-245-0669
Provider Business Mailing Address Fax Number:
503-239-5953

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
SE 43RD AVE
Provider Second Line Business Practice Location Address:
SUITE 200 CASCADIA BHC
Provider Business Practice Location Address City Name:
PDX
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-872-0168
Provider Business Practice Location Address Fax Number:
503-239-5952
Provider Enumeration Date:
02/27/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  C0692 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: G 00-00-26 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YA0400X , with the licence number: G 00-00-26 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: C0692 . This is a "LPC" identifier , issued by the state of ( OR ) . This identifiers is of the category "OTHER".
  • Identifier: 94-R-12 . This is a "CADCII" identifier , issued by the state of ( OR ) . This identifiers is of the category "OTHER".
  • Identifier: G 00-00-26 . This is a "CGACII" identifier , issued by the state of ( OR ) . This identifiers is of the category "OTHER".
  • Identifier: 639 . This is a "NCGCII" identifier . This identifiers is of the category "OTHER".




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