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General NPI Number Information
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NPI Number | 1922498914
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Entity Type | Organization
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Legal Business Name | NORTHWEST COUNSELING ASSOCIATES, LLC
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Dates
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Enumeration Date | 01/28/2015
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 4900 SW GRIFFITH DRIVE ST 157
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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 | 503-444-8230
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Fax | 503-295-4036
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Provider Business Mailing Address
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Address Line | 4900 SW GRIFFITH DRIVE ST 157
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City | BEAVERTON
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State | OR
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Zip | 97005-7107
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Country | US
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Telephone | 503-869-4071
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Fax | 503-295-4036
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Authorized Official
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Title or Position | OWNER
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Name | HEATHER VLIET
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Credential | LPC
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Telephone | 503-869-4071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | C2470
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License Number State | OR
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