Provider Demographics
NPI:1841691227
Name:FARRAR, CORINA
Entity type:Individual
Prefix:
First Name:CORINA
Middle Name:
Last Name:FARRAR
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 1:116 3RD ST
Mailing Address - Street 2:SUITE #210
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-2190
Mailing Address - Country:US
Mailing Address - Phone:541-581-0527
Mailing Address - Fax:
Practice Address - Street 1:116 3RD ST
Practice Address - Street 2:SUITE #210
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-2190
Practice Address - Country:US
Practice Address - Phone:541-581-0527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-04
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health