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General NPI Number Information
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NPI Number | 1871293068
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Entity Type | Organization
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Legal Business Name | KATHRYN STANLEY CONSULTING, LLC
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 811 NW 19TH AVE STE 301
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City | PORTLAND
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State | OR
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Zip | 97209-1401
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Country | US
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Telephone | 503-866-0299
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Fax |
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Provider Business Mailing Address
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Address Line | 6364 NE GARFIELD AVE
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City | PORTLAND
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State | OR
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Zip | 97211-3002
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Country | US
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Telephone | 509-205-5586
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | KATHRYN STANLEY
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Credential |
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Telephone | 509-205-5586
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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 |
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License Number State |
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