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General NPI Number Information
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NPI Number | 1952833238
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Entity Type | Organization
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Legal Business Name | EUGENIA SALOMON MFT
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Dates
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Enumeration Date | 03/28/2017
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Last Update Date | 03/28/2017
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Provider Practice Location Address
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Address Line | 1962 NW KEARNEY ST STE 204
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City | PORTLAND
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State | OR
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Zip | 97209-1464
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Country | US
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Telephone | 971-303-9992
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Fax |
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Provider Business Mailing Address
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Address Line | 1962 NW KEARNEY ST STE 204
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City | PORTLAND
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State | OR
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Zip | 97209-1464
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Country | US
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Telephone | 971-303-9992
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EUGENIA SALOMON
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Credential | MFT
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Telephone | 971-303-9992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | T1093
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License Number State | OR
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