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General NPI Number Information
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NPI Number | 1750437943
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Entity Type | Individual
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Provider Name | MARSHA LORRAINE WHITE MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 01/28/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 0333 SW FLOWER ST SUITE 5
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City | PORTLAND
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State | OR
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Zip | 97239-3754
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Country | US
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Telephone | 503-236-0408
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Fax | 503-232-5443
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Provider Business Mailing Address
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Address Line | PO BOX 82431
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City | PORTLAND
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State | OR
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Zip | 97282-0431
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Country | US
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Telephone | 503-246-0408
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Fax | 503-232-5443
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C1123
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License Number State | OR
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