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General NPI Number Information
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NPI Number | 1285009142
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Entity Type | Organization
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Legal Business Name | RESTORATION COUNSELING
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Dates
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Enumeration Date | 12/03/2015
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Last Update Date | 03/09/2017
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Provider Practice Location Address
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Address Line | 5257 NE MLK JR BLVD SUITE #201
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City | PORTLAND
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State | OR
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Zip | 97211-3282
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Country | US
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Telephone | 503-331-2548
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Fax | 503-331-2549
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Provider Business Mailing Address
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Address Line | 315 NW ISLAND CIR APT. B3
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City | BEAVERTON
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State | OR
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Zip | 97006-8334
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Country | US
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Telephone | 503-351-3197
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Fax |
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Authorized Official
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Title or Position | COUNSELOR/OWNER
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Name | SAMUEL B SCHREINER
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Credential | MAC
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Telephone | 503-351-3197
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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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