Provider Demographics
NPI:1972154375
Name:PERRY, CHRIS (MS, CRC, NCC, LPCI)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:
Last Name:PERRY
Suffix:
Gender:M
Credentials:MS, CRC, NCC, LPCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8555 SW APPLE WAY
Mailing Address - Street 2:SUITE 320
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225
Mailing Address - Country:US
Mailing Address - Phone:503-553-9143
Mailing Address - Fax:503-672-7668
Practice Address - Street 1:8555 SW APPLE WAY
Practice Address - Street 2:SUITE 320
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225
Practice Address - Country:US
Practice Address - Phone:503-553-9143
Practice Address - Fax:503-672-7668
Is Sole Proprietor?:No
Enumeration Date:2019-09-26
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor