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General NPI Number Information
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NPI Number | 1699572347
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Entity Type | Organization
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Legal Business Name | OREGON INSTITUTE OF BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 501 N VILLA RD
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City | NEWBERG
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State | OR
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Zip | 97132-1818
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Country | US
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Telephone | 503-550-3346
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Fax |
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Provider Business Mailing Address
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Address Line | 4172 E LABISH LN
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City | NEWBERG
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State | OR
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Zip | 97132-3840
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Country | US
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Telephone | 503-550-3346
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. LUANN FOSTER
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Credential | PSYD
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Telephone | 503-550-3346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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