Healthcare Provider Details

I. General information

NPI: 1508147059
Provider Name (Legal Business Name): NATALIE KATHARINE HARPER MA, CADC I
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2011
Last Update Date: 10/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15100 BOONES FERRY RD 800C
LAKE OSWEGO OR
97035-3469
US

IV. Provider business mailing address

15100 BOONES FERRY RD 800C
LAKE OSWEGO OR
97035-3469
US

V. Phone/Fax

Practice location:
  • Phone: 503-707-0808
  • Fax:
Mailing address:
  • Phone: 503-707-0808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberR4023
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: