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1588754717 NPI number — MOLLEE MICHELLE HUBER LPC

NPI Number: 1588754717
Health Care Provider/Practitioner: MOLLEE MICHELLE HUBER LPC

Information about “1588754717” NPI (MOLLEE MICHELLE HUBER LPC) exists in 1588754717 in HTML format HTML  |  1588754717 in plain Text format TXT  |  1588754717 in PDF (Portable Document Format) PDF  |  1588754717 in an XML format XML  formats.

NPI Number : 1588754717 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588754717",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HUBER",
    "FirstName": "MOLLEE",
    "MiddleName": "MICHELLE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 82819",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORTLAND",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97282-0819",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "503-233-5405",
    "MailingAddressFaxNumber": "503-233-2696",
    "FirstLinePracticeLocationAddress": "1217 NE BURNSIDE RD STE 401 BLDG B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GRESHAM",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97030-5705",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "503-666-8832",
    "PracticeLocationAddressFaxNumber": "503-669-8641",
    "EnumerationDate": "10/16/2006",
    "LastUpdateDate": "07/09/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "C1571",
        "LicenseNumberStateCode": "OR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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