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General NPI Number Information
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NPI Number | 1871181214
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Entity Type | Organization
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Legal Business Name | ALANA J DUSCHANE LLC
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Dates
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Enumeration Date | 12/31/2020
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Last Update Date | 12/31/2020
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Provider Practice Location Address
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Address Line | 2279 NW IRVING ST FL 2
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City | PORTLAND
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State | OR
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Zip | 97210-3222
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Country | US
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Telephone | 971-404-0844
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Fax |
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Provider Business Mailing Address
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Address Line | 6960 SW STANFORD CT
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City | PORTLAND
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State | OR
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Zip | 97223-9585
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Country | US
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Telephone | 503-523-6738
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. ALANA DUSCHANE
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Credential | PSYD
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Telephone | 503-523-6738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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