Provider Demographics
NPI:1306159769
Name:REGER-FURLER, MELISSA LEANA (MS)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:LEANA
Last Name:REGER-FURLER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 661
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-0020
Mailing Address - Country:US
Mailing Address - Phone:541-386-5520
Mailing Address - Fax:
Practice Address - Street 1:1005 W 6TH ST
Practice Address - Street 2:
Practice Address - City:THE DALLES
Practice Address - State:OR
Practice Address - Zip Code:97058-1001
Practice Address - Country:US
Practice Address - Phone:541-296-3471
Practice Address - Fax:541-296-3745
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health