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General NPI Number Information
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NPI Number | 1003698259
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Entity Type | Individual
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Provider Name | LORI JO SCHELSKE PHD
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Gender | Female
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Dates
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Enumeration Date | 10/20/2023
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 1740 SHAFF RD # 233
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City | STAYTON
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State | OR
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Zip | 97383-1092
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Country | US
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Telephone | 503-507-6211
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Fax |
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Provider Business Mailing Address
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Address Line | 5356 RADELL DR SE
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City | SALEM
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State | OR
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Zip | 97317-9508
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Country | US
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Telephone | 503-507-6211
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | T0663
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License Number State | OR
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