Healthcare Provider Details

I. General information

NPI: 1912284027
Provider Name (Legal Business Name): JULIE MICHELLE FRANCIS M.S., L.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2011
Last Update Date: 11/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1655 S. ELM ST #508
CANBY OR
97013
US

IV. Provider business mailing address

1655 S. ELM ST #508
CANBY OR
97013
US

V. Phone/Fax

Practice location:
  • Phone: 541-337-7796
  • Fax:
Mailing address:
  • Phone: 541-337-7796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC0986
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: