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General NPI Number Information
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NPI Number | 1902455207
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Entity Type | Organization
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Legal Business Name | ALBATROSS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 09/09/2019
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Last Update Date | 09/09/2019
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Provider Practice Location Address
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Address Line | 4900 SW GRIFFITH DR STE 273
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City | BEAVERTON
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State | OR
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Zip | 97005-5607
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Country | US
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Telephone | 971-239-4087
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 91323
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City | PORTLAND
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State | OR
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Zip | 97291-0006
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | CHRIS SCHEIFF
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Credential |
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Telephone | 971-239-4087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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