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General NPI Number Information
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NPI Number | 1467225185
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Entity Type | Individual
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Provider Name | GRACE ELIZABETH CHENEY MS, QMHP-R, ATR-P
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Gender | Female
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Dates
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Enumeration Date | 11/03/2023
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 5291 NE ELAM YOUNG PKWY STE 160
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City | HILLSBORO
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State | OR
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Zip | 97124-7560
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Country | US
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Telephone | 314-650-6220
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 16040
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City | PORTLAND
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State | OR
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Zip | 97292-0040
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Country | US
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Telephone | 503-535-1150
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Fax | 503-535-1192
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number |
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License Number State | OR
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