Darla Harrison, LPC

Individual provider Active NPI Professional Counselor · Beaverton, OR

NPI 1437595089 · NPPES record last updated Jun 7, 2013

Key facts

NPI
1437595089
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
C3049 (OR)
Practice address
12555 SW 3Rd St
Beaverton, OR 97005-0517
Phone
(503) 939-6817
NPI assigned
May 21, 2013
Sex
Female
Sole proprietor
No

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
C3049ORMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C3049 OR Yes

Addresses

Primary practice location

12555 SW 3Rd St
Beaverton, OR 97005-0517

Mailing address

PO Box 2262
Tualatin, OR 97062-2262
Phone (503) 939-6817

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 7, 2013.

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1437595089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2262",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970622262",
            "telephone_number": "503-939-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 SW 3RD ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970050517",
            "telephone_number": "503-939-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "DARLA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

All providers in Beaverton, OR · Professional Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.