Provider Demographics
NPI:1083947949
Name:FARQUHAR-STOUT, PAULA (MA, MED CADC III)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:
Last Name:FARQUHAR-STOUT
Suffix:
Gender:F
Credentials:MA, MED CADC III
Other - Prefix:MS
Other - First Name:PAULA
Other - Middle Name:A
Other - Last Name:FARQUHAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:3540 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-3813
Mailing Address - Country:US
Mailing Address - Phone:541-687-0195
Mailing Address - Fax:
Practice Address - Street 1:1790 W 11TH AVE
Practice Address - Street 2:SUITE 290
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-3758
Practice Address - Country:US
Practice Address - Phone:541-686-1262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health