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General NPI Number Information
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NPI Number | 1609656149
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Entity Type | Individual
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Provider Name | CARMEN RYAN LLC, MS, MBA
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Gender | Female
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Dates
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Enumeration Date | 10/02/2023
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 28925 SW BOBERG RD
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City | WILSONVILLE
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State | OR
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Zip | 97070-8218
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Country | US
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Telephone | 360-952-4602
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Fax |
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Provider Business Mailing Address
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Address Line | 29385 SW TETON WAY
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City | WILSONVILLE
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State | OR
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Zip | 97070-8501
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Country | US
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Telephone | 503-939-9447
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C10608
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License Number State | OR
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