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General NPI Number Information
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NPI Number | 1033510680
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Entity Type | Individual
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Provider Name | SAMANTHA RENTNER BARR MA, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 03/17/2021
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Provider Practice Location Address
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Address Line | 1675 SW MARLOW AVE STE 210G
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City | PORTLAND
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State | OR
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Zip | 97225-5162
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Country | US
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Telephone | 971-319-2551
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Fax |
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Provider Business Mailing Address
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Address Line | 23012 BLAND CIR
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City | WEST LINN
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State | OR
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Zip | 97068-8283
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Country | US
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Telephone | 971-319-2551
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C4127
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License Number State | OR
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