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General NPI Number Information
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NPI Number | 1831525682
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Entity Type | Individual
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Provider Name | SHARI DAVISON M.A., LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/24/2013
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Last Update Date | 02/01/2017
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Provider Practice Location Address
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Address Line | 5319 SW WESTGATE DR STE 113
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City | PORTLAND
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State | OR
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Zip | 97221-2432
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Country | US
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Telephone | 503-336-9744
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Fax |
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Provider Business Mailing Address
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Address Line | 24794 SW MOUNTAIN RD
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City | WEST LINN
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State | OR
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Zip | 97068-9692
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Country | US
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Telephone | 503-320-0209
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | T1248
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License Number State | OR
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