Provider Demographics
NPI:1275969776
Name:PARISH, JAY III
Entity Type:Individual
Prefix:MR
First Name:JAY
Middle Name:
Last Name:PARISH
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 S. 4TH STREET
Mailing Address - Street 2:FAMILY SOLUTIONS
Mailing Address - City:CENTRAL POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97502
Mailing Address - Country:US
Mailing Address - Phone:541-665-0359
Mailing Address - Fax:541-665-0358
Practice Address - Street 1:640 S. 2ND STREET
Practice Address - Street 2:FAMILY SOLUTIONS
Practice Address - City:CENTRAL POINT
Practice Address - State:OR
Practice Address - Zip Code:97502
Practice Address - Country:US
Practice Address - Phone:541-665-0359
Practice Address - Fax:541-665-0358
Is Sole Proprietor?:No
Enumeration Date:2013-09-17
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst