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General NPI Number Information
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NPI Number | 1891358859
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Entity Type | Individual
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Provider Name | ZOE BURGHER
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Gender | Female
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Dates
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Enumeration Date | 04/16/2019
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 833 SW 11TH AVE STE 1018
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City | PORTLAND
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State | OR
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Zip | 97205-2124
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Country | US
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Telephone | 971-361-8042
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Fax |
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Provider Business Mailing Address
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Address Line | 833 SW 11TH AVE STE 1018
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City | PORTLAND
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State | OR
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Zip | 97205-2124
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Country | US
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Telephone | 971-361-8042
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SWI.LW.61681886
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | L11952
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License Number State | OR
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