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General NPI Number Information
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NPI Number | 1760558365
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Entity Type | Organization
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Legal Business Name | WASHINGTON COUNTY HEALTH & HUMAN SERVICES
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 155 N 1ST AVE MS70
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City | HILLSBORO
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State | OR
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Zip | 97124-3001
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Country | US
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Telephone | 503-846-4528
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Fax | 503-846-4560
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Provider Business Mailing Address
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Address Line | 155 N 1ST AVE MS70
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City | HILLSBORO
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State | OR
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Zip | 97124-3001
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Country | US
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Telephone | 503-846-4528
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Fax | 503-846-4560
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Authorized Official
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Title or Position | BEHAVIORAL HEALTH PROGRAM SUPERVISO
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Name | MS. KIM BURGESS
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Credential | LCSW
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Telephone | 503-846-4552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | OR
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