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NPI 1225571847

NPI 1225571847 : NEUROTHERAPEUTIC PEDIATRIC THERAPIES INC : MCMINNVILLE, OR

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General NPI Number Information
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    NPI Number           |    1225571847
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEUROTHERAPEUTIC PEDIATRIC THERAPIES INC 
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Dates
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    Enumeration Date     |    11/30/2016
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    Last Update Date     |    05/14/2025
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Provider Practice Location Address
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    Address Line         |    2274 SW 2ND ST STE D 
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    City                 |    MCMINNVILLE
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    State                |    OR
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    Zip                  |    97128-5597
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    Country              |    US
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    Telephone            |    971-261-2159
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    Fax                  |    503-266-8632
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Provider Business Mailing Address
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    Address Line         |    610 HIGH ST 
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    City                 |    OREGON CITY
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    State                |    OR
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    Zip                  |    97045-2241
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    Country              |    US
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    Telephone            |    503-657-8903
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    Fax                  |    503-266-8632
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     KAREN M BRELJE 
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    Credential           |    RN
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    Telephone            |    503-657-8903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    175F00000X
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    Taxonomy Name        |    Naturopath
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    224Z00000X
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    Taxonomy Name        |    Occupational Therapy Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    2251P0200X
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    Taxonomy Name        |    Pediatric Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    225XP0200X
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    Taxonomy Name        |    Pediatric Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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