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General NPI Number Information
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NPI Number | 1093201949
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Entity Type | Individual
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Provider Name | REBECCA JOAN OZAETA LPC
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Gender | Female
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Dates
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Enumeration Date | 07/03/2018
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 5613 NE CANARD DR
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City | HILLSBORO
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State | OR
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Zip | 97124-6259
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Country | US
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Telephone | 503-342-2669
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Fax |
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Provider Business Mailing Address
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Address Line | 2850 SW CEDAR HILLS BLVD # 2850
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City | BEAVERTON
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State | OR
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Zip | 97005-1354
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Country | US
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Telephone | 503-342-2669
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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 | C6210
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH61233203
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License Number State | WA
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