Provider Demographics
NPI:1861876369
Name:PARISI, STEPHEN (BS)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:
Last Name:PARISI
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 SE 82ND DR., BUILDING C
Mailing Address - Street 2:
Mailing Address - City:GLADSTONE
Mailing Address - State:OR
Mailing Address - Zip Code:97027-3133
Mailing Address - Country:US
Mailing Address - Phone:503-659-5515
Mailing Address - Fax:503-594-8193
Practice Address - Street 1:870 82ND DR BLDG C
Practice Address - Street 2:WESTERN PSYCHOLOGICAL & COUNSELING SERVICES
Practice Address - City:GLADSTONE
Practice Address - State:OR
Practice Address - Zip Code:97027-1803
Practice Address - Country:US
Practice Address - Phone:503-233-5404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-14
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)