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General NPI Number Information
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NPI Number | 1255481115
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Entity Type | Organization
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Legal Business Name | COUNTY OF CLACKAMAS
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 12400 SE FREEMAN WAY
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City | MILWAUKIE
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State | OR
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Zip | 97222-4611
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Country | US
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Telephone | 503-353-6127
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Fax | 503-353-6124
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Provider Business Mailing Address
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Address Line | 12400 SE FREEMAN WAY
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City | MILWAUKIE
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State | OR
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Zip | 97222-4611
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Country | US
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Telephone | 503-353-6127
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Fax | 503-353-6124
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Authorized Official
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Title or Position | COORDINATOR, SPECIAL EDUCATION
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Name | MRS. FIORELLA KASSAB
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Credential | PHD
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Telephone | 503-353-6130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 133087
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License Number State | OR
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