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General NPI Number Information
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NPI Number | 1346010592
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Entity Type | Organization
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Legal Business Name | HEART PATH COUNSELING
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 11630 SE 40TH AVE STE C
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City | MILWAUKIE
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State | OR
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Zip | 97222-6195
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Country | US
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Telephone | 503-867-2982
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Fax |
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Provider Business Mailing Address
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Address Line | 19300 MOLALLA AVE UNIT 298
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City | OREGON CITY
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State | OR
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Zip | 97045-0814
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Country | US
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Telephone | 503-867-2982
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. JENNIFER KRUMM KRUMM
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Credential | LPC
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Telephone | 503-867-2982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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