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General NPI Number Information
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NPI Number | 1710008503
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Entity Type | Individual
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Provider Name | CHRISTI J HILDEBRAN CADCII,MSW
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Gender | Female
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1776 SW MADISON ST
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City | PORTLAND
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State | OR
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Zip | 97205-1715
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Country | US
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Telephone | 503-224-1044
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Fax | 503-621-2235
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Provider Business Mailing Address
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Address Line | 5318 SE REEDWAY ST
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City | PORTLAND
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State | OR
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Zip | 97206-5674
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Country | US
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Telephone | 503-224-1044
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Fax | 503-621-2235
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 96-R-35
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | OR
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