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NPI Code Detail

MEDICARE: REVOLUTION COUNSELING, LLC

MEDICARE: REVOLUTION COUNSELING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1295328821
Entity Type Code : Organization
Provider Name (Legal Business Name) : REVOLUTION COUNSELING, LLC
Provider Business Mailing Address
First Line : 2373 NW 185TH AVE # 635
Second Line :
City : HILLSBORO
State : OR
Zip : 97124-7076
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1915 NE STUCKI AVE STE 308
Second Line :
City : HILLSBORO
State : OR
Zip : 97006-6951
Country : US
Telephone Number : 541-286-5207
Fax Number :
Authorized Official
Title or Position : OWNER MANAGER
Name : DR. ANJABEEN ASHRAF
Credential : PHD
Telephone Number : 541-286-5207
Provider Enumeration Date : 02/15/2021
Last Update Date : 02/15/2021

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Directions to “REVOLUTION COUNSELING, LLC ” Practice Location

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