Provider Demographics
NPI:1902265739
Name:MURPHY, CHARITY (THW, PSS)
Entity Type:Individual
Prefix:MRS
First Name:CHARITY
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:THW, PSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 SW FRAZER AVE
Mailing Address - Street 2:SUITE 282
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-2163
Mailing Address - Country:US
Mailing Address - Phone:541-278-6330
Mailing Address - Fax:541-278-5419
Practice Address - Street 1:17 SW FRAZER AVE
Practice Address - Street 2:SUITE 282
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-2163
Practice Address - Country:US
Practice Address - Phone:541-278-6330
Practice Address - Fax:541-278-5419
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-22
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health