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General NPI Number Information
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NPI Number | 1598903932
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Entity Type | Individual
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Provider Name | JAMIE MARIE EASTMAN
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Gender | Female
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Dates
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Enumeration Date | 01/22/2009
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 2555 SILVERTON RD NE
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City | SALEM
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State | OR
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Zip | 97301-0837
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Country | US
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Telephone | 503-953-0310
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Fax |
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Provider Business Mailing Address
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Address Line | 7515 FALCON CREST DR # 200
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City | REDMOND
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State | OR
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Zip | 97756-5014
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Country | US
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Telephone | 541-904-5216
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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 | 101Y00000X
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Taxonomy Name | Counselor
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C3457
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License Number State | OR
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