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General NPI Number Information
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NPI Number | 1326482563
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Entity Type | Organization
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Legal Business Name | FIREFLY INSTITUTE
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Dates
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Enumeration Date | 04/18/2013
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Last Update Date | 12/10/2019
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Provider Practice Location Address
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Address Line | 4950 NE BELKNAP CT SUITE 205
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City | HILLSBORO
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State | OR
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Zip | 97124-5113
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Country | US
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Telephone | 503-560-5822
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Fax | 888-503-2864
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Provider Business Mailing Address
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Address Line | 4950 NE BELKNAP CT STE 205
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City | HILLSBORO
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State | OR
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Zip | 97124-5115
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Country | US
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Telephone | 503-560-5822
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Fax | 888-503-2864
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Authorized Official
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Title or Position | CEO
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Name | MICHELLE MARIE PLISKE
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Credential | MSW LCSW RPT
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Telephone | 503-560-5822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | L5487
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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