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General NPI Number Information
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NPI Number | 1700649993
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Entity Type | Individual
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Provider Name | MEGHAN BUCHANAN
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Gender | Female
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Dates
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Enumeration Date | 02/01/2024
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 15480 SE 82ND DR STE C
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City | CLACKAMAS
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State | OR
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Zip | 97015-9633
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Country | US
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Telephone | 503-308-9665
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Fax |
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Provider Business Mailing Address
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Address Line | 14149 SE CENTER ST
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City | PORTLAND
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State | OR
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Zip | 97236-2739
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Country | US
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Telephone | 503-686-1566
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | R10792
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License Number State | OR
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