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General NPI Number Information
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NPI Number | 1821537499
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Entity Type | Organization
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Legal Business Name | VOLITION, LLC
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Dates
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Enumeration Date | 02/16/2017
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 1336 NW FLANDERS ST STE 253
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City | PORTLAND
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State | OR
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Zip | 97209-2645
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Country | US
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Telephone | 503-606-6412
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Fax |
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Provider Business Mailing Address
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Address Line | 10350 N VANCOUVER WAY # 65976
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City | PORTLAND
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State | OR
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Zip | 97217-7530
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Country | US
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Telephone | 503-606-6412
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | PHILIP KOLBA
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Credential | MA LPC LCPC NCC
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Telephone | 503-987-0337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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