Provider Demographics
NPI:1871722793
Name:HARRIGAN, DAVID (BS IN PSYCHOLOGY)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:HARRIGAN
Suffix:
Gender:M
Credentials:BS IN PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4647 SE 97TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97266-2643
Mailing Address - Country:US
Mailing Address - Phone:503-679-6870
Mailing Address - Fax:503-963-7124
Practice Address - Street 1:2415 SE 43RD AVE
Practice Address - Street 2:# 100
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97206-1600
Practice Address - Country:US
Practice Address - Phone:503-238-0705
Practice Address - Fax:503-963-7124
Is Sole Proprietor?:No
Enumeration Date:2009-07-13
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No174400000XOther Service ProvidersSpecialist