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1326484239 NPI number — BRANDIE LYDAY LMFT CGACII CADCIII

NPI Number: 1326484239
Health Care Provider/Practitioner: BRANDIE LYDAY LMFT CGACII CADCIII

Information about “1326484239” NPI (BRANDIE LYDAY LMFT CGACII CADCIII) exists in 1326484239 in HTML format HTML  |  1326484239 in plain Text format TXT  |  1326484239 in PDF (Portable Document Format) PDF  |  1326484239 in an XML format XML  formats.

NPI Number : 1326484239 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326484239",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LYDAY",
    "FirstName": "BRANDIE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMFT CGACII CADCIII",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1730 SW SKYLINE BLVD STE 109",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORTLAND",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97221-2547",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "971-203-2326",
    "MailingAddressFaxNumber": "971-203-2572",
    "FirstLinePracticeLocationAddress": "1730 SW SKYLINE BLVD STE 109",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORTLAND",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97221-2547",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "971-203-2326",
    "PracticeLocationAddressFaxNumber": "971-203-2572",
    "EnumerationDate": "05/17/2013",
    "LastUpdateDate": "04/22/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "19-03-28",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "T1503",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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