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General NPI Number Information
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NPI Number | 1902714884
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Entity Type | Individual
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Provider Name | HALEY KLANN
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Gender | Female
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 2405 FRONT ST NE
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City | SALEM
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State | OR
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Zip | 97301-0775
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Country | US
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Telephone | 503-504-2103
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Fax |
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Provider Business Mailing Address
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Address Line | 17925 SW ROSA RD APT 26
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City | BEAVERTON
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State | OR
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Zip | 97078-3245
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Country | US
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Telephone | 810-986-2345
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | R10150
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License Number State | OR
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