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NPI 1295297109

NPI 1295297109 : DEVON J PALMANTEER LMFT : BEAVERTON, OR

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General NPI Number Information
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    NPI Number           |    1295297109
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    Entity Type          |    Individual 
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    Provider Name        |    DEVON J PALMANTEER LMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/01/2019
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    Last Update Date     |    08/09/2025
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Provider Practice Location Address
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    Address Line         |    3720 SW 141ST AVE STE 208 
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    City                 |    BEAVERTON
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    State                |    OR
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    Zip                  |    97005-2349
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    Country              |    US
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    Telephone            |    503-455-4365
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3720 SW 141ST AVE STE 208 
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    City                 |    BEAVERTON
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    State                |    OR
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    Zip                  |    97005-2349
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    Country              |    US
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    Telephone            |    503-455-4365
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    Fax                  |    971-232-0293
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    T2379
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    License Number State |    OR
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