Provider Demographics
NPI:1619031077
Name:TOURNAY, VICKI JEAN (BS,QMHP)
Entity Type:Individual
Prefix:MS
First Name:VICKI
Middle Name:JEAN
Last Name:TOURNAY
Suffix:
Gender:F
Credentials:BS,QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4046 47TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97305-3664
Mailing Address - Country:US
Mailing Address - Phone:503-584-4842
Mailing Address - Fax:503-585-4058
Practice Address - Street 1:2035 DAVCOR ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-1595
Practice Address - Country:US
Practice Address - Phone:503-585-4900
Practice Address - Fax:503-585-4958
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health