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General NPI Number Information
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NPI Number | 1598291197
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Entity Type | Individual
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Provider Name | ANDREA L GARBER LCSW/LICSW/CADCIII
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Gender | Female
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Dates
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Enumeration Date | 05/03/2017
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 3636 NE BROADWAY ST
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City | PORTLAND
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State | OR
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Zip | 97232-1823
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Country | US
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Telephone | 503-548-0346
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Fax | 503-232-5959
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Provider Business Mailing Address
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Address Line | 211 SE CARUTHERS ST
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City | PORTLAND
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State | OR
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Zip | 97214-4502
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Country | US
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Telephone | 503-224-1044
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Fax | 971-260-0355
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 23-01-30056
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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 | L16542
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License Number State | OR
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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 | SWI.LW.70012492
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License Number State | WA
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