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General NPI Number Information
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NPI Number | 1891341541
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Entity Type | Individual
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Provider Name | YIDING HAN LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/16/2019
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Last Update Date | 08/18/2022
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Provider Practice Location Address
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Address Line | 167 NE 79TH AVE
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City | BEAVERTON
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State | OR
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Zip | 97006-6877
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Country | US
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Telephone | 503-850-8484
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Fax |
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Provider Business Mailing Address
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Address Line | 4804 NW BETHANY BLVD STE I2 424
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City | PORTLAND
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State | OR
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Zip | 97229-9195
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Country | US
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Telephone | 503-850-8484
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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 | LF61123449
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 166001352
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | T-1893
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License Number State | OR
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