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General NPI Number Information
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NPI Number | 1558546465
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Entity Type | Individual
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Provider Name | DIANA LYNN FRATES LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 6118 SE BELMONT ST STE 414
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City | PORTLAND
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State | OR
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Zip | 97215-1983
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Country | US
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Telephone | 971-220-5354
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Fax | 855-813-8656
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Provider Business Mailing Address
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Address Line | 6118 BELMONT AVE SUITE 414
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City | PORTLAND
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State | OR
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Zip | 97215
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Country | US
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Telephone | 530-864-4115
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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 | L8376
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License Number State | OR
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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 | 26857
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 60953258
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License Number State | WA
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