Provider Demographics
NPI:1164258331
Name:COURTNEY, ALYSSA
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:COURTNEY
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 1:999 ABERNETHY RD
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-1175
Mailing Address - Country:US
Mailing Address - Phone:971-334-9380
Mailing Address - Fax:504-974-1006
Practice Address - Street 1:999 ABERNETHY RD
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-1175
Practice Address - Country:US
Practice Address - Phone:503-655-8471
Practice Address - Fax:504-974-1006
Is Sole Proprietor?:No
Enumeration Date:2024-09-12
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health