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General NPI Number Information
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NPI Number | 1437523461
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Entity Type | Individual
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Provider Name | CHANEL WALKER-HARRIS LPC
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Gender | Female
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Dates
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Enumeration Date | 11/13/2015
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Last Update Date | 05/09/2022
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Provider Practice Location Address
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Address Line | 2951 NW DIVISION ST
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City | GRESHAM
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State | OR
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Zip | 97030-5292
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Country | US
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Telephone | 503-988-8145
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Fax |
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Provider Business Mailing Address
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Address Line | 1231 NE M L KING BLVD APT 304
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City | PORTLAND
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State | OR
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Zip | 97232-2094
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Country | US
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Telephone | 318-518-0115
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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 | C5372
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License Number State | OR
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