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General NPI Number Information
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NPI Number | 1548080567
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Entity Type | Organization
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Legal Business Name | BANYAN WELLNESS CENTER
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 5 CENTERPOINTE DR STE 400
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-8661
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Country | US
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Telephone | 503-741-8613
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Fax | 503-386-3396
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Provider Business Mailing Address
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Address Line | 5181 W KERRY LN
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City | GLENDALE
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State | AZ
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Zip | 85308-4938
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Country | US
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Telephone | 808-264-2723
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Fax |
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Authorized Official
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Title or Position | PMHNP-BC
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Name | HILARY HELKENN
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Credential | APRN
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Telephone | 503-741-8613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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