Provider Demographics
NPI:1881899490
Name:FARR, BRIAN H (LPC)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:H
Last Name:FARR
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 SW TAYLOR ST
Mailing Address - Street 2:SUITE 820
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205-2543
Mailing Address - Country:US
Mailing Address - Phone:503-224-0114
Mailing Address - Fax:503-224-9801
Practice Address - Street 1:1020 SW TAYLOR ST
Practice Address - Street 2:SUITE 820
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-2543
Practice Address - Country:US
Practice Address - Phone:503-224-0114
Practice Address - Fax:503-224-9801
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-15
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1999101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional