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1962861450 NPI number — PROGRESSIVE COUNSELING SERVICES HILLSBORO

NPI Number: 1962861450
Health Care Provider/Practitioner: PROGRESSIVE COUNSELING SERVICES HILLSBORO

Information about “1962861450” NPI (PROGRESSIVE COUNSELING SERVICES HILLSBORO) exists in 1962861450 in HTML format HTML  |  1962861450 in plain Text format TXT  |  1962861450 in PDF (Portable Document Format) PDF  |  1962861450 in an XML format XML  formats.

NPI Number : 1962861450 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962861450",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "PROGESSIVE COUNSELING SERVICES, INC.",
    "ParentOrgTIN": null,
    "OrgName": "PROGRESSIVE COUNSELING SERVICES HILLSBORO",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "150 NE 3RD AVE",
    "SecondLineMailingAddress": "SUITE A",
    "MailingAddressCityName": "HILLSBORO",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97124-3150",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "503-746-4850",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "150 NE 3RD AVE",
    "SecondLinePracticeLocationAddress": "SUITE A",
    "PracticeLocationAddressCityName": "HILLSBORO",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97124-3150",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "503-746-4850",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/12/2016",
    "LastUpdateDate": "02/12/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BARBER",
    "AuthorizedOfficialFirstName": "DON",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "503-821-7274",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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