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NPI 1639416928

NPI 1639416928 : ERIN MICHELLE BRUNNER LMFT : REDMOND, OR

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General NPI Number Information
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    NPI Number           |    1639416928
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    Entity Type          |    Individual 
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    Provider Name        |    ERIN MICHELLE BRUNNER LMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/07/2013
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    Last Update Date     |    05/21/2025
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Provider Practice Location 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                  |    541-527-4347
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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                  |    541-527-4347
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    T1495
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    License Number State |    OR
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