Provider Demographics
NPI:1558412304
Name:PARISI-MOSHER, JANE ESTHER (MA)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:ESTHER
Last Name:PARISI-MOSHER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 NE GALLOWAY ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-4529
Mailing Address - Country:US
Mailing Address - Phone:503-472-0210
Mailing Address - Fax:503-472-5003
Practice Address - Street 1:414 NE GALLOWAY ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-4529
Practice Address - Country:US
Practice Address - Phone:503-472-0210
Practice Address - Fax:503-472-5003
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT0328106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist