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General NPI Number Information
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NPI Number | 1891522819
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Entity Type | Organization
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Legal Business Name | TAILWIND ADHD LLC
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Dates
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Enumeration Date | 09/14/2024
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Last Update Date | 10/12/2025
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Provider Practice Location Address
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Address Line | 1110 SE ALDER ST STE 210
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City | PORTLAND
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State | OR
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Zip | 97214-2400
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Country | US
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Telephone | 971-999-3193
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 SE ALDER ST STE 210
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City | PORTLAND
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State | OR
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Zip | 97214-2400
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Country | US
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Telephone | 971-999-3193
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Fax |
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Authorized Official
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Title or Position | CLINICAL LEAD
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Name | KITTY KLOUD
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Credential |
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Telephone | 971-895-3267
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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