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NPI Code Detail

MEDICARE: LEX BEDEVIAN LPC

MEDICARE: LEX BEDEVIAN LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor73314TX

General Provider Information

NPI Number : 1649786500
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEX BEDEVIAN LPC
Provider Business Mailing Address
First Line : 5055 N INTERSTATE AVE APT 1503
Second Line :
City : PORTLAND
State : OR
Zip : 97217-3793
Country : US
Telephone Number : 979-571-2636
Fax Number :
Provider Business Practice Location Address
First Line : 5100 S MACADAM AVE STE 350
Second Line :
City : PORTLAND
State : OR
Zip : 97239-3877
Country : US
Telephone Number : 503-231-7854
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2017
Last Update Date : 05/08/2025

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Directions to “ LEX BEDEVIAN LPC” Practice Location

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