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General NPI Number Information
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NPI Number | 1396457776
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Entity Type | Individual
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Provider Name | KRISTEN TORNGA LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/19/2022
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 811 SW 6TH AVE STE 1000
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City | PORTLAND
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State | OR
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Zip | 97204-1345
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Country | US
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Telephone | 231-668-1937
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Fax |
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Provider Business Mailing Address
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Address Line | 1115 SW MARKET ST APT 206
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City | PORTLAND
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State | OR
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Zip | 97201-3397
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Country | US
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Telephone | 231-668-1937
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L16880
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License Number State | OR
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