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General NPI Number Information
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NPI Number | 1215553722
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Entity Type | Individual
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Provider Name | HEATH RYAN ROSSI MA
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Gender | Male
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Dates
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Enumeration Date | 06/20/2020
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 5352 SW GOLDEN GATE WAY
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City | BEAVERTON
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State | OR
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Zip | 97078-2105
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Country | US
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Telephone | 503-926-4227
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Fax |
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Provider Business Mailing Address
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Address Line | 7227 N PHILADELPHIA AVE UNIT 431
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City | PORTLAND
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State | OR
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Zip | 97203-3773
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Country | US
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Telephone | 971-489-3019
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C4772
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C4771
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License Number State | OR
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