Healthcare Provider Details

I. General information

NPI: 1114704038
Provider Name (Legal Business Name): JOANNE ELIZABETH MURPHY CSWA, CADC 1
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOANNE FISHER, WITTER

II. Dates (important events)

Enumeration Date: 09/13/2023
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15156 THAYER RD
OREGON CITY OR
97045-9377
US

IV. Provider business mailing address

19300 MOLALLA AVE UNIT 145
OREGON CITY OR
97045-0812
US

V. Phone/Fax

Practice location:
  • Phone: 503-354-1234
  • Fax:
Mailing address:
  • Phone: 503-354-1234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number24-04-11093
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: