Provider Demographics
NPI:1801330121
Name:USHER, STEPHANIE (MS, CRC, LPC INTERN)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:USHER
Suffix:
Gender:F
Credentials:MS, CRC, LPC INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14782 SW FERN ST
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-5731
Mailing Address - Country:US
Mailing Address - Phone:503-319-6491
Mailing Address - Fax:
Practice Address - Street 1:900 SE OAK ST STE 202
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4287
Practice Address - Country:US
Practice Address - Phone:503-640-3724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-05
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor