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General NPI Number Information
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NPI Number | 1710773981
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Entity Type | Individual
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Provider Name | GINGER BECKER MSN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 555 SE MLK BLVD UNIT 105
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City | PORTLAND
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State | OR
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Zip | 97214-2595
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Country | US
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Telephone | 503-664-9451
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Fax |
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Provider Business Mailing Address
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Address Line | 1834 TAMARACK CT
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City | FOREST GROVE
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State | OR
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Zip | 97116-2153
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Country | US
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Telephone | 541-250-2548
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10042986
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License Number State | OR
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