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General NPI Number Information
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NPI Number | 1962694794
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Entity Type | Individual
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Provider Name | DELINDA LOUISE FREE LCSW, LMT
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Gender | Female
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Dates
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Enumeration Date | 08/15/2007
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Last Update Date | 10/26/2025
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Provider Practice Location Address
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Address Line | 13670 SW CHARIOT CT
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City | BEAVERTON
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State | OR
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Zip | 97008-7533
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Country | US
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Telephone | 503-754-0247
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Fax |
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Provider Business Mailing Address
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Address Line | 13670 SW CHARIOT CT
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City | BEAVERTON
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State | OR
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Zip | 97008-7533
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Country | US
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Telephone | 503-754-0247
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 13268
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA00011644
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L10647
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License Number State | OR
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