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General NPI Number Information
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NPI Number | 1215828041
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Entity Type | Organization
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Legal Business Name | ORI COMMUNITY AND EVALUATION SERVICES
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 3800 SPORTS WAY
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City | SPRINGFIELD
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State | OR
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Zip | 97477-2019
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Country | US
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Telephone | 541-484-2123
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 SPORTS WAY
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City | SPRINGFIELD
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State | OR
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Zip | 97477-2019
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Country | US
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Telephone | 541-484-2123
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MICHAEL HOLMES X
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Credential | PHD
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Telephone | 541-484-2123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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