Doctor Name: | HARLEY PARKKI |
NPI Number: | 1073971230 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1021 W 9th St The Dalles, OR - 970581007 |
Business Phone Number: | 5412981920 |
Business Fax Number: | 5412981917 |
Mailing Address: | 3587 Heathrow Way, MEDFORD |
State: | OR |
Postal Code: | 975044004 |
Phone Number: | 5419653894 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2016 |
NPI Last Update Date: | 02/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |