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General NPI Number Information
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NPI Number | 1801318621
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF OREGON
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Dates
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Enumeration Date | 07/13/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1655 ALDER STREET UNIVERSITY OF OREGON, HEDCO CLINIC
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City | EUGENE
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State | OR
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Zip | 97403-5207
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Country | US
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Telephone | 541-346-0923
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Fax | 541-346-6772
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Provider Business Mailing Address
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Address Line | 1655 ALDER STREET UNIVERSITY OF OREGON, HEDCO CLINIC
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City | EUGENE
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State | OR
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Zip | 97403-5207
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Country | US
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Telephone | 541-346-0923
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Fax | 541-346-6772
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Authorized Official
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Title or Position | COORDINATOR FINANCE AND OPERATIONS
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Name | MRS. LESLIE ANN MARTINEZ
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Credential | M.ED.
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Telephone | 541-346-3576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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