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General NPI Number Information
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NPI Number | 1003621517
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Entity Type | Organization
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Legal Business Name | FIRST STEPS CENTER FOR AUTISM AND DEVELOPMENTAL DISABILITIES
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 228 S MAIN AVE
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City | WARRENTON
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State | OR
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Zip | 97146
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Country | US
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Telephone | 503-861-8104
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 425
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City | WARRENTON
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State | OR
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Zip | 97146-0425
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Country | US
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Telephone | 503-791-4088
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. BRANDI LINDSTROM
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Credential |
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Telephone | 503-791-4088
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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