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General NPI Number Information
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NPI Number | 1265941140
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Entity Type | Organization
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Legal Business Name | ASHAWLAWAY COUNSELING, LLC
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Dates
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Enumeration Date | 09/23/2017
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Last Update Date | 09/23/2017
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Provider Practice Location Address
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Address Line | 10883 SE MAIN ST STE 204
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City | MILWAUKIE
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State | OR
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Zip | 97222-7641
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Country | US
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Telephone | 503-816-3283
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Fax |
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Provider Business Mailing Address
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Address Line | 5331 SW MACADAM AVE SUITE 258 PMB 415
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City | PORTLAND
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State | OR
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Zip | 97239
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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 | OWNER
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Name | NATALIE HOUSER
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Credential |
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Telephone | 503-816-3283
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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 | LH60723726
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License Number State | WA
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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 | C4576
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License Number State | OR
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