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General NPI Number Information
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NPI Number | 1992487359
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Entity Type | Individual
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Provider Name | ALLISON AUSTIN LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/04/2023
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 19250 SW 65TH AVE STE 300
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City | TUALATIN
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State | OR
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Zip | 97062-7707
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Country | US
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Telephone | 503-692-1242
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Fax | 503-691-3615
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Provider Business Mailing Address
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Address Line | 7650 SW BEVELAND RD STE 200
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City | PORTLAND
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State | OR
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Zip | 97223-8692
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Country | US
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Telephone | 503-601-3615
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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 | L4195
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License Number State | OR
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