Basic Information
| Provider Information | |||||||||
| NPI: | 1699802991 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FRANC | ||||||||
| FirstName: | MARION | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MS LPC CADCII GGACII | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | MURRAY OYE | ||||||||
| OtherFirstName: | MARION | ||||||||
| OtherMiddleName: | S | ||||||||
| OtherNamePrefix: | MRS. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | MS | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 9139 SW 23RD DR | ||||||||
| Address2: | |||||||||
| City: | PDX | ||||||||
| State: | OR | ||||||||
| PostalCode: | 97219 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5032450669 | ||||||||
| FaxNumber: | 5032395953 | ||||||||
| Practice Location | |||||||||
| Address1: | SE 43RD AVE | ||||||||
| Address2: | SUITE 200 CASCADIA BHC | ||||||||
| City: | PDX | ||||||||
| State: | OR | ||||||||
| PostalCode: | 97206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5038720168 | ||||||||
| FaxNumber: | 5032395952 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/27/2007 | ||||||||
| LastUpdateDate: | 07/17/2008 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | |||||||||
| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
| AuthorizedOfficialLastName: | |||||||||
| AuthorizedOfficialFirstName: | |||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | |||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | C0692 | OR | N | Behavioral Health & Social Service Providers | Counselor | Professional | 101YM0800X | G 00-00-26 | OR | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YA0400X | G 00-00-26 | OR | Y | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
ID Information
| ID | Type | State | Issuer | Description | C0692 | 01 | OR | LPC | OTHER | 94-R-12 | 01 | OR | CADCII | OTHER | G 00-00-26 | 01 | OR | CGACII | OTHER | 639 | 01 | NCGCII | OTHER |