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General NPI Number Information
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NPI Number | 1912676255
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Entity Type | Individual
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Provider Name | DANIEL BEDELL LCSW
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Gender | Male
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Dates
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Enumeration Date | 09/09/2021
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 7529 SE TUALATIN VALLEY HWY
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City | HILLSBORO
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State | OR
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Zip | 97123-8252
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Country | US
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Telephone | 503-681-4240
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Fax | 503-681-4241
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Provider Business Mailing Address
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Address Line | 1400 SW 5TH AVE STE 500
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City | PORTLAND
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State | OR
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Zip | 97201-5537
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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 |
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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 | 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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Taxonomy #2
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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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