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General NPI Number Information
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NPI Number | 1487471256
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Entity Type | Organization
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Legal Business Name | HEALING POWER THERAPY LLC
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Dates
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Enumeration Date | 09/24/2024
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Last Update Date | 03/16/2025
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Provider Practice Location Address
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Address Line | 555 SE MLK JR BLVD STE 1052051
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City | PORTLAND
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State | OR
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Zip | 97214-2120
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Country | US
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Telephone | 971-266-4257
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Fax |
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Provider Business Mailing Address
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Address Line | 555 SE MLK JR BLVD STE 1052051
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City | PORTLAND
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State | OR
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Zip | 97214-2120
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Country | US
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Telephone | 971-266-4257
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. HUSSEIN DAYOW IDOW
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Credential | CSWA, QMHPR, CADCR,
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Telephone | 971-266-4257
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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 | 101Y00000X
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Taxonomy Name | Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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