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General NPI Number Information
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NPI Number | 1407041775
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Entity Type | Individual
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Provider Name | MARILYN STEPHENS LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 11/15/2025
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Provider Practice Location Address
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Address Line | 5020 NE ML KING BLVD
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City | PORTLAND
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State | OR
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Zip | 97211-3204
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Country | US
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Telephone | 808-463-4287
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Fax | 503-961-1779
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Provider Business Mailing Address
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Address Line | 15200 SW SPARROW LOOP UNIT 102
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City | BEAVERTON
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State | OR
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Zip | 97007-9358
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Country | US
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Telephone | 808-463-4287
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Fax | 503-961-1779
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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 | L7646
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License Number State | OR
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