Provider Demographics
NPI:1154459667
Name:NORLING, DARCY CLOTHIER (PSYD)
Entity type:Individual
Prefix:
First Name:DARCY
Middle Name:CLOTHIER
Last Name:NORLING
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:04 SW HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-4095
Mailing Address - Country:US
Mailing Address - Phone:503-208-7171
Mailing Address - Fax:503-208-7172
Practice Address - Street 1:04 SW HAMILTON ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-4095
Practice Address - Country:US
Practice Address - Phone:503-208-7171
Practice Address - Fax:503-208-7172
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1891103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist