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General NPI Number Information
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NPI Number | 1205346384
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Entity Type | Individual
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Provider Name | YASHARET LOPEZ-VALENCIA BSW
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Gender | Female
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Dates
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Enumeration Date | 10/03/2017
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 8383 NE SANDY BLVD STE 440
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City | PORTLAND
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State | OR
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Zip | 97220-4986
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Country | US
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Telephone | 971-373-4041
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Fax |
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Provider Business Mailing Address
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Address Line | 2740 SE POWELL BLVD
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City | PORTLAND
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State | OR
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Zip | 97202-2069
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 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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