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General NPI Number Information
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NPI Number | 1235040122
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Entity Type | Individual
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Provider Name | SHERRESA BRASFIELD
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Gender |
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 960 LIBERTY ST SE STE 100
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City | SALEM
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State | OR
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Zip | 97302-4165
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Country | US
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Telephone | 503-343-5693
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Fax | 541-543-2238
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Provider Business Mailing Address
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Address Line | 7960 NW HOPE DR
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City | CORVALLIS
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State | OR
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Zip | 97330-2714
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | R10296
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License Number State | OR
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