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General NPI Number Information
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NPI Number | 1730784067
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Entity Type | Organization
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Legal Business Name | VICKIE M LARSON-HILLS MSW LCSW LLC
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Dates
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Enumeration Date | 12/03/2020
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Last Update Date | 08/23/2025
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Provider Practice Location Address
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Address Line | 340 1ST AVE SE
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City | ALBANY
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State | OR
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Zip | 97321-2738
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Country | US
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Telephone | 360-356-2508
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 68
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City | LYONS
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State | OR
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Zip | 97358-0068
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Country | US
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Telephone | 503-509-6223
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Fax | 866-404-2332
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | VICKIE MARIE LARSON-HILLS
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Credential | LCSW
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Telephone | 360-356-2508
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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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