Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003266743 |
---|---|
Provider Name | Erin Harrell |
First Address | Portland, OR 97218-3534 |
Second Address | Portland, OR 97218-3534 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2016 |
Last Update Date | 12/07/2021 |