Doctor Name: | DEBORAH BAILEY |
NPI Number: | 1083082812 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 15544 Clackamas River Dr Oregon City, OR - 970459490 |
Business Phone Number: | 5036353416 |
Business Fax Number: | |
Mailing Address: | Po Box 368, MARYLHURST |
State: | OR |
Postal Code: | 970360368 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/10/2015 |
NPI Last Update Date: | 09/10/2015 |
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: |