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General NPI Number Information
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NPI Number | 1144182585
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Entity Type | Organization
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Legal Business Name | KATHERINE CALVERT, LLC
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 13140 SW HEATHER CT
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City | BEAVERTON
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State | OR
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Zip | 97008-5612
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Country | US
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Telephone | 503-705-2194
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Fax | 866-617-1750
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Provider Business Mailing Address
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Address Line | 6107 SW MURRAY BLVD # 199
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City | BEAVERTON
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State | OR
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Zip | 97008-4421
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Country | US
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Telephone | 503-705-2194
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Fax | 866-617-1750
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | SHIREE FERGUSON
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Credential |
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Telephone | 503-758-3801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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