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General NPI Number Information
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NPI Number | 1073942645
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Entity Type | Organization
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Legal Business Name | SAFE JOURNEYS, LLC
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Dates
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Enumeration Date | 11/05/2013
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Last Update Date | 11/05/2013
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Provider Practice Location Address
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Address Line | 18801 SW MARTINAZZI AVE SUITE 206
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City | TUALATIN
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State | OR
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Zip | 97062-6896
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Country | US
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Telephone | 503-989-0991
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Fax | 503-692-9461
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Provider Business Mailing Address
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Address Line | 5975 SW SPRUCE AVE
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City | BEAVERTON
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State | OR
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Zip | 97005-3502
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Country | US
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Telephone | 503-989-0991
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, SAFE JOURNEYS
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Name | NAIYA SINGH
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Credential | MA, CADC-II
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Telephone | 503-989-0991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 07-03-43
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License Number State | OR
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