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General NPI Number Information
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NPI Number | 1487395471
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Entity Type | Organization
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Legal Business Name | BEHAVIOR AND MENTAL HEALTH CONSULTATION OF OREGON
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 04/05/2022
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Provider Practice Location Address
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Address Line | 704 SW FOREST AVE STE 102
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City | REDMOND
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State | OR
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Zip | 97756-2762
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Country | US
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Telephone | 541-324-0873
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 712
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City | REDMOND
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State | OR
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Zip | 97756-0144
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Country | US
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Telephone | 541-324-0873
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MELISSA VALADEZ
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Credential | MSW
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Telephone | 541-324-0873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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