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General NPI Number Information
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NPI Number | 1538552930
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Entity Type | Individual
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Provider Name | RYUN ROBERT MCVEIGH
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Gender | Male
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Dates
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Enumeration Date | 03/09/2015
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 1818 SE DIVISION ST
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City | PORTLAND
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State | OR
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Zip | 97202-1159
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Country | US
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Telephone | 503-238-0769
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Fax | 503-963-7124
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Provider Business Mailing Address
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Address Line | PO BOX 8459
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City | PORTLAND
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State | OR
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Zip | 97207-8459
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Country | US
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Telephone | 503-238-0769
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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 | C9709
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License Number State | OR
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