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General NPI Number Information
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NPI Number | 1851217939
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Entity Type | Organization
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Legal Business Name | PSYCHE IN SOPRANO
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 555 SE MARTIN LUTHER KING BLVD SUITE 2033
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City | PORTLAND
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State | OR
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Zip | 97214-2595
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Country | US
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Telephone | 619-877-9388
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Fax |
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Provider Business Mailing Address
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Address Line | 555 SE MARTIN LUTHER KING BLVD STE 105
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City | PORTLAND
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State | OR
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Zip | 97214-2595
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Country | US
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Telephone | 619-877-9388
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | AKEELA BENSON
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Credential | PMHNP-BC, FNP-C
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Telephone | 619-877-9388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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