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General NPI Number Information
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NPI Number | 1699655183
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Entity Type | Organization
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Legal Business Name | SUNWARD THERAPY LLC
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 568 ETHAN CT
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City | SPRINGFIELD
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State | OR
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Zip | 97477-9407
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Country | US
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Telephone | 541-503-8925
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Fax |
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Provider Business Mailing Address
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Address Line | 1863 PIONEER PKWY E UNIT 217
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City | SPRINGFIELD
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State | OR
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Zip | 97477-3907
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Country | US
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Telephone | 541-503-8925
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | MRS. CAITLIN VAN CLARK
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Credential | LCSW
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Telephone | 541-503-8925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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