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General NPI Number Information
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NPI Number | 1912593690
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Entity Type | Individual
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Provider Name | LEAH MARIE CHAMBERS LPC
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Gender | Female
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Dates
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Enumeration Date | 12/16/2020
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 8137 SE SHORT RD
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City | GRESHAM
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State | OR
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Zip | 97080-8206
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Country | US
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Telephone | 503-660-8103
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Fax |
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Provider Business Mailing Address
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Address Line | 8137 SE SHORT RD
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City | GRESHAM
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State | OR
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Zip | 97080-8206
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Country | US
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Telephone | 503-660-8103
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LH61497317
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C6942
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License Number State | OR
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