Provider Demographics
NPI:1710568340
Name:PURDIE, ALANNAH
Entity Type:Individual
Prefix:
First Name:ALANNAH
Middle Name:
Last Name:PURDIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:356 SE 35TH CT
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-7114
Mailing Address - Country:US
Mailing Address - Phone:503-602-4119
Mailing Address - Fax:
Practice Address - Street 1:10580 SW MCDONALD ST STE 202
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97224-4800
Practice Address - Country:US
Practice Address - Phone:971-242-4155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-15
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health