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General NPI Number Information
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NPI Number | 1083189393
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Entity Type | Individual
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Provider Name | SEAN TIMOTHY CALLAHAN
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Gender | Male
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Dates
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Enumeration Date | 10/12/2018
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 8835 SW CANYON LN STE 220
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City | PORTLAND
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State | OR
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Zip | 97225-3452
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Country | US
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Telephone | 971-402-9591
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Fax |
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Provider Business Mailing Address
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Address Line | 8835 SW CANYON LN STE 220
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City | PORTLAND
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State | OR
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Zip | 97225-3452
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Country | US
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Telephone | 971-402-9591
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C10105
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License Number State | OR
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