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General NPI Number Information
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NPI Number | 1861778920
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Entity Type | Organization
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Legal Business Name | VANESSA L. OWEN, MSW, LCSW
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Dates
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Enumeration Date | 11/02/2011
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 1980 WILLAMETTE FALLS DR STE 240
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City | WEST LINN
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State | OR
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Zip | 97068-4675
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Country | US
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Telephone | 503-656-2888
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Fax | 503-656-2282
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Provider Business Mailing Address
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Address Line | 1980 WILLAMETTE FALLS DR STE 240
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City | WEST LINN
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State | OR
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Zip | 97068-4675
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Country | US
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Telephone | 503-656-2888
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Fax | 503-656-2282
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Authorized Official
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Title or Position | INDIVIDUAL & FAMILY THERAPIST
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Name | VANESSA OWEN
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Credential | MSW, LCSW
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Telephone | 503-656-2888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L3621
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License Number State | OR
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