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General NPI Number Information
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NPI Number | 1114874997
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Entity Type | Organization
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Legal Business Name | THE PSYCHOTHERAPY ASSOCIATES OF OREGON
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 7440 SW HUNZIKER RD STE E
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City | TIGARD
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State | OR
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Zip | 97223-8237
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Country | US
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Telephone | 503-694-9662
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Fax | 503-673-1085
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Provider Business Mailing Address
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Address Line | 7440 SW HUNZIKER RD STE E
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City | TIGARD
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State | OR
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Zip | 97223-8237
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Country | US
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Telephone | 503-694-9662
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Fax | 503-673-1085
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Authorized Official
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Title or Position | FOUNDING DIRECTOR
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Name | DAVID SCOTT CORSE
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Credential | LPC, CADCIII, CGACII
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Telephone | 503-906-0814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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