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General NPI Number Information
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NPI Number | 1548713571
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Entity Type | Individual
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Provider Name | PATRICIA CALHOUN LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/26/2016
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 9960 SW BROOKSIDE DR
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City | PORTLAND
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State | OR
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Zip | 97225-6720
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Country | US
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Telephone | 650-465-4889
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Fax |
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Provider Business Mailing Address
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Address Line | 8998 SW LEAHY RD
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City | PORTLAND
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State | OR
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Zip | 97225-6443
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Country | US
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Telephone | 650-465-4889
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW94102
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License Number State | CA
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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 | L12574
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License Number State | OR
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