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General NPI Number Information
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NPI Number | 1528582004
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Entity Type | Individual
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Provider Name | MEGHAN MARIE SMITH MA
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Gender | Female
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Dates
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Enumeration Date | 07/27/2017
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 9205 SW BARNES RD STE 200
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City | PORTLAND
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State | OR
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Zip | 97225-6603
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Country | US
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Telephone | 503-216-4738
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Fax |
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Provider Business Mailing Address
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Address Line | 6700 SW 105TH AVE STE 203
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City | BEAVERTON
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State | OR
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Zip | 97008-8824
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Country | US
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Telephone | 707-616-8978
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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