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General NPI Number Information
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NPI Number | 1063371995
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Entity Type | Individual
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Provider Name | ERIN WIRTZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 9205 SW BARNES RD
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City | PORTLAND
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State | OR
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Zip | 97225-6603
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Country | US
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Telephone | 503-216-1360
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Fax |
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Provider Business Mailing Address
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Address Line | 19725 SW BLANTON ST
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City | ALOHA
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State | OR
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Zip | 97078-1214
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Country | US
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Telephone | 503-997-4646
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 524305
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L11274
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License Number State | OR
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