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NPI 1548141104

NPI 1548141104 : DR. ALISA KARMEL, LLC : PORTLAND, OR

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General NPI Number Information
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    NPI Number           |    1548141104
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    Entity Type          |    Organization 
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    Legal Business Name  |    DR. ALISA KARMEL, LLC 
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Dates
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    Enumeration Date     |    09/10/2025
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    Last Update Date     |    09/10/2025
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Provider Practice Location Address
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    Address Line         |    13159 SW 63RD AVE 
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    City                 |    PORTLAND
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    State                |    OR
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    Zip                  |    97219-8066
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    Country              |    US
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    Telephone            |    503-998-1545
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13159 SW 63RD AVE 
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    City                 |    PORTLAND
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    State                |    OR
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    Zip                  |    97219-8066
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PSYCHOLOGIST
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    Name                 |     ALISA  KARMEL 
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    Credential           |    PSYD
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    Telephone            |    503-998-1545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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