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General NPI Number Information
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NPI Number | 1831426949
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Entity Type | Individual
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Provider Name | RYAN FREDERICK HOSLEY PSY. D
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Gender | Male
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Dates
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Enumeration Date | 11/10/2009
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Last Update Date | 11/10/2009
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Provider Practice Location Address
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Address Line | 8305 SE MONTEREY AVE SUITE 220
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City | HAPPY VALLEY
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State | OR
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Zip | 97086-7725
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Country | US
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Telephone | 503-550-0968
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Fax | 503-476-3164
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Provider Business Mailing Address
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Address Line | 8305 SE MONTEREY AVE SUITE #220
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City | HAPPY VALLEY
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State | OR
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Zip | 97086-7725
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Country | US
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Telephone | 503-550-0968
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Fax | 503-476-3164
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 1969
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1969
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | 1969
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 1969
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 1969
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License Number State | OR
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Taxonomy #6
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 1969
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License Number State | OR
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