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General NPI Number Information
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NPI Number | 1396338463
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Entity Type | Individual
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Provider Name | KATHERYNE LEWIS LMHC, LPC
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Gender | Female
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Dates
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Enumeration Date | 02/18/2021
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 3930 N MONTANA AVE UNIT 4
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City | PORTLAND
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State | OR
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Zip | 97227-1285
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Country | US
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Telephone | 503-908-4376
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Fax | 855-469-3430
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Provider Business Mailing Address
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Address Line | 3930 N MONTANA AVE UNIT 4
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City | PORTLAND
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State | OR
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Zip | 97227-1285
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Country | US
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Telephone | 503-908-4376
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Fax | 855-469-3430
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C8703
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License Number State | OR
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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 | C8703
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License Number State | OR
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