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General NPI Number Information
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NPI Number | 1609731280
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Entity Type | Organization
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Legal Business Name | BRENT FELNAGLE PSYCHOLOGY LLC
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 3701 SE MILWAUKIE AVE STE G
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City | PORTLAND
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State | OR
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Zip | 97202-3835
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Country | US
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Telephone | 503-479-8442
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Fax |
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Provider Business Mailing Address
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Address Line | 10117 SE SUNNYSIDE RD STE F1182
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City | CLACKAMAS
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State | OR
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Zip | 97015-7708
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Country | US
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Telephone | 503-479-8442
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Fax | 971-266-4521
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | DR. BRENTON THOMAS FELNAGLE
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Credential | PSYD
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Telephone | 503-479-8442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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