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General NPI Number Information
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NPI Number | 1548781693
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Entity Type | Organization
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Legal Business Name | GREATER NEW HOPE FAMILY SERVICES
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Dates
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Enumeration Date | 06/29/2017
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 1550 NW EASTMAN PKIWY STE. 175
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City | GRESHAM
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State | OR
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Zip | 97030
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Country | US
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Telephone | 813-417-4013
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 30779
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City | PORTLAND
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State | OR
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Zip | 97294-3779
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Country | US
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Telephone | 813-417-4013
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | LINDA ELLERBY
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Credential |
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Telephone | 813-417-4013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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