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General NPI Number Information
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NPI Number | 1982991584
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Entity Type | Individual
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Provider Name | ROBERT WILLIAM GARBER LCSW
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Gender | Male
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Dates
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Enumeration Date | 07/02/2011
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Last Update Date | 04/05/2020
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Provider Practice Location Address
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Address Line | 14511 WESTLAKE DR STE 120
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-7773
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Country | US
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Telephone | 503-451-4770
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Fax |
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Provider Business Mailing Address
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Address Line | 8815 SW COMANCHE CT
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City | TUALATIN
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State | OR
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Zip | 97062-7909
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Country | US
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Telephone | 503-515-9391
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L4100
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License Number State | OR
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