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General NPI Number Information
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NPI Number | 1174673263
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Entity Type | Individual
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Provider Name | STEVEN PATRICK BARRY PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1441 SE 122ND AVE SUITE G
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City | PORTLAND
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State | OR
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Zip | 97233-1270
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Country | US
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Telephone | 503-255-2191
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Fax | 503-255-1609
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Provider Business Mailing Address
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Address Line | 1441 SE 122ND AVE SUITE G
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City | PORTLAND
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State | OR
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Zip | 97233-1270
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Country | US
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Telephone | 503-255-2191
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Fax | 503-255-1609
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0609
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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