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General NPI Number Information
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NPI Number | 1477406494
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Entity Type | Individual
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Provider Name | ALEXANDRA M LUNA
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Gender | Female
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 1827 NE 44TH AVE STE 390
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City | PORTLAND
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State | OR
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Zip | 97213-1461
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Country | US
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Telephone | 503-963-6494
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Fax | 310-933-4134
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Provider Business Mailing Address
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Address Line | 840 E HISTORIC COLUMBIA RIVER HWY APT 10
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City | TROUTDALE
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State | OR
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Zip | 97060-2189
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Country | US
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Telephone | 503-963-5494
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Fax | 310-933-4134
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | ABA-I-10267526
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License Number State | OR
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