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NPI 1003373457

NPI 1003373457 : ANDREA MICHELE KAHLER MA, NCC, LPC : BEAVERTON, OR

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General NPI Number Information
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    NPI Number           |    1003373457
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    Entity Type          |    Individual 
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    Provider Name        |    ANDREA MICHELE KAHLER MA, NCC, LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/21/2019
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    Last Update Date     |    11/14/2024
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Provider Practice Location Address
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    Address Line         |    9670 SW BEAVERTON HILLSDALE HWY 
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    City                 |    BEAVERTON
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    State                |    OR
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    Zip                  |    97005-3307
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    Country              |    US
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    Telephone            |    971-229-4009
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    Fax                  |    866-324-6009
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Provider Business Mailing Address
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    Address Line         |    4706 NE 97TH AVE 
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    City                 |    PORTLAND
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    State                |    OR
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    Zip                  |    97220-4215
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    Country              |    US
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    Telephone            |    503-724-2048
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    C7572
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    License Number State |    OR
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