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General NPI Number Information
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NPI Number | 1790599074
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Entity Type | Individual
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Provider Name | MARY E NORBECK APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 2110 MISSION ST SE STE 305
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City | SALEM
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State | OR
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Zip | 97302-0038
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Country | US
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Telephone | 503-379-1902
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Fax |
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Provider Business Mailing Address
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Address Line | 4225 HAWTHORNE AVE NE APT 216
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City | SALEM
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State | OR
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Zip | 97301-6774
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Country | US
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Telephone | 503-463-6499
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Fax | 503-304-2224
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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 | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 200842532RN
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10044968
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 163WC1600X
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Taxonomy Name | Continuing Education/Staff Development Registered Nurse
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License Number | 200842532RN
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 200842532RN
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License Number State | OR
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