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General NPI Number Information
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NPI Number | 1518972918
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Entity Type | Individual
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Provider Name | KRISTI LYNN TASKER LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 8555 SW APPLE WAY STE 320
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City | PORTLAND
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State | OR
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Zip | 97225-1775
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Country | US
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Telephone | 503-298-4592
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Fax | 619-383-6701
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Provider Business Mailing Address
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Address Line | 8555 SW APPLE WAY STE 320
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City | PORTLAND
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State | OR
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Zip | 97225-1775
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Country | US
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Telephone | 503-298-4592
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Fax | 619-383-6701
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | R0580571
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L3259
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License Number State | OR
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