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General NPI Number Information
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NPI Number | 1831049766
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Entity Type | Organization
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Legal Business Name | SILVER SPARROW THERAPY LLC
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 11735 SE 129TH AVE
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City | HAPPY VALLEY
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State | OR
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Zip | 97086-6239
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Country | US
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Telephone | 971-315-9150
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Fax |
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Provider Business Mailing Address
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Address Line | 12042 SE SUNNYSIDE RD # 597
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City | CLACKAMAS
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State | OR
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Zip | 97015-8382
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Country | US
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Telephone | 971-315-9150
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BETH STONER
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Credential | LPC
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Telephone | 971-315-9150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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