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General NPI Number Information
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NPI Number | 1376405100
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Entity Type | Organization
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Legal Business Name | REBEKAH SPRINGS LLC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 4790 SW WATSON AVE
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City | BEAVERTON
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State | OR
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Zip | 97005-0511
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Country | US
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Telephone | 503-905-9735
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Fax | 503-386-7898
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Provider Business Mailing Address
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Address Line | 4790 SW WATSON AVE
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City | BEAVERTON
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State | OR
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Zip | 97005-0511
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Country | US
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Telephone | 503-905-9735
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Fax | 503-386-7898
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Authorized Official
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Title or Position | OWNER
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Name | REBEKAH SPRINGS
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Credential | LMFT
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Telephone | 916-436-6992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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