Provider Demographics
NPI:1770724072
Name:PARR, MELISSA (MA, LPC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:PARR
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 N KILLINGSWORTH ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-4541
Mailing Address - Country:US
Mailing Address - Phone:503-575-9402
Mailing Address - Fax:888-769-4431
Practice Address - Street 1:1425 N KILLINGSWORTH ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-4541
Practice Address - Country:US
Practice Address - Phone:503-575-9402
Practice Address - Fax:888-769-4431
Is Sole Proprietor?:No
Enumeration Date:2009-03-16
Last Update Date:2012-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORC2840OtherBOARD OF LICENSED PROFESSIONAL COUNSELORS AND THERAPISTS