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General NPI Number Information
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NPI Number | 1063939221
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Entity Type | Individual
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Provider Name | VICENTE MURGADO PSY.D.,QMHP-C
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Gender | Male
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Dates
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Enumeration Date | 08/28/2017
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 265 SE OAK ST STE C
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City | HILLSBORO
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State | OR
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Zip | 97123-4392
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Country | US
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Telephone | 971-441-0460
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Fax |
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Provider Business Mailing Address
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Address Line | 1596 18TH AVE
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City | FOREST GROVE
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State | OR
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Zip | 97116-3158
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | QMHPC-001247
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License Number State | OR
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