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General NPI Number Information
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NPI Number | 1225446891
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Entity Type | Organization
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Legal Business Name | FAMILY CROSSROADS INC.
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Dates
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Enumeration Date | 07/28/2014
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 5 CENTERPOINTE DR STE 400
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-8661
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Country | US
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Telephone | 503-730-1454
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Fax | 503-892-4571
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Provider Business Mailing Address
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Address Line | 9425 SW TERWILLIGER BLVD
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City | PORTLAND
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State | OR
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Zip | 97219-4857
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Country | US
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Telephone | 503-730-1454
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Fax | 503-892-4571
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Authorized Official
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Title or Position | PRACTICE MGR
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Name | LUANNE BURSEY
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Credential |
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Telephone | 503-708-9871
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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 | L074
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License Number State | OR
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