Provider Demographics
NPI:1699427500
Name:ARNALL, DARCY L (MA)
Entity type:Individual
Prefix:MISS
First Name:DARCY
Middle Name:L
Last Name:ARNALL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8191 NW LOMBARD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97203
Mailing Address - Country:US
Mailing Address - Phone:503-500-5680
Mailing Address - Fax:503-543-3829
Practice Address - Street 1:8191 NW LOMBARD SUITE 112
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97203
Practice Address - Country:US
Practice Address - Phone:503-500-5680
Practice Address - Fax:503-543-3829
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-21
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR7378101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health