Provider Demographics
NPI:1306491519
Name:PARRISH, FELISHA ROSE (PM)
Entity type:Individual
Prefix:
First Name:FELISHA
Middle Name:ROSE
Last Name:PARRISH
Suffix:
Gender:F
Credentials:PM
Other - Prefix:
Other - First Name:FELISHA
Other - Middle Name:ROSE
Other - Last Name:FLOWERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PM
Mailing Address - Street 1:1305 HILL ST SE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97322-6711
Mailing Address - Country:US
Mailing Address - Phone:541-967-6580
Mailing Address - Fax:541-919-0033
Practice Address - Street 1:1131 29TH AVE APT B4
Practice Address - Street 2:
Practice Address - City:SWEET HOME
Practice Address - State:OR
Practice Address - Zip Code:97386-2929
Practice Address - Country:US
Practice Address - Phone:541-905-7613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker