Salena Harlow

Individual provider Active NPI Counselor · Corbett, OR

NPI 1124387527 · NPPES record last updated May 7, 2012

Key facts

NPI
1124387527
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
License
105449 (WA)
Practice address
46934 NE Toll Rd
Corbett, OR 97019-8701
Phone
(503) 998-5134
NPI assigned
May 7, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
105449WAMDCounselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 105449 WA Yes

Addresses

Primary practice location

46934 NE Toll Rd
Corbett, OR 97019-8701

Mailing address

PO Box 255
Corbett, OR 97019-0255
Phone (503) 998-5134

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 7, 2012.

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1124387527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255",
            "city": "CORBETT",
            "state": "OR",
            "postal_code": "970190255",
            "telephone_number": "503-998-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46934 NE TOLL RD",
            "city": "CORBETT",
            "state": "OR",
            "postal_code": "970198701",
            "telephone_number": "503-998-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLOW",
        "first_name": "SALENA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "105449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbett, OR

All providers in Corbett, OR · Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.