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General NPI Number Information
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NPI Number | 1376371336
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Entity Type | Individual
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Provider Name | STEPHANIE ALLEY LPC
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Gender | Female
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Dates
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Enumeration Date | 07/22/2024
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Last Update Date | 01/05/2025
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Provider Practice Location Address
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Address Line | 5075 SW GRIFFITH DR STE 250
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City | BEAVERTON
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State | OR
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Zip | 97005-3047
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Country | US
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Telephone | 541-900-4285
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Fax | 888-810-2993
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Provider Business Mailing Address
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Address Line | 9860 SW HALL BLVD STE D
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City | PORTLAND
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State | OR
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Zip | 97223-8896
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Country | US
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Telephone | 503-517-1920
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C8509
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License Number State | OR
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