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General NPI Number Information
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NPI Number | 1770957615
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Entity Type | Individual
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Provider Name | ASHLEE GARAU-BRITTINGHAM
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Gender | Female
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Dates
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Enumeration Date | 11/16/2015
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 123 10TH AVE E UNIT 208
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City | SEATTLE
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State | WA
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Zip | 98102-6244
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Country | US
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Telephone | 541-610-6504
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Fax |
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Provider Business Mailing Address
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Address Line | 857 SW THEATER DR
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City | BEND
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State | OR
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Zip | 97702-3509
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Country | US
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Telephone | 541-610-6504
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C6573
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License Number State | OR
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