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General NPI Number Information
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NPI Number | 1033434725
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Entity Type | Organization
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Legal Business Name | CLACKAMAS COUNTY CHILDREN'S COMMISSION
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Dates
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Enumeration Date | 04/06/2010
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Last Update Date | 04/06/2010
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Provider Practice Location Address
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Address Line | 17600 PACIFIC HWY # 43 DAVIGNON HALL
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City | MARYLHURST
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State | OR
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Zip | 97036-7036
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Country | US
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Telephone | 504-675-4565
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Fax | 503-675-3551
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Provider Business Mailing Address
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Address Line | 17600 PACIFIC HWY PO BOX 6
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City | MARYLHURST
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State | OR
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Zip | 97036-7036
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Country | US
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Telephone | 504-675-4565
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Fax | 503-675-3551
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Authorized Official
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Title or Position | HEALTH & NUTRITION DIRECTOR
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Name | ROBYN ALPER
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Credential | RN
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Telephone | 503-675-4565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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