Doctor Name: | MS. DIANE KATHLEEN HARRIS |
NPI Number: | 1083752638 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | LO984 |
Business Practice Address: | 11 Scarborough Dr Lake Oswego, OR - 970347307 |
Business Phone Number: | 5036386945 |
Business Fax Number: | |
Mailing Address: | 11 Scarborough Dr, LAKE OSWEGO |
State: | OR |
Postal Code: | 970347307 |
Phone Number: | 5036386945 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LO984 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |