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NPI Code Detail

MEDICARE: MS. BETH ANN DOYLE LPC

MEDICARE:  MS. BETH ANN DOYLE  LPC
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
1101YP2500XProfessional CounselorC1630OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C1630OTHERORLPC LICENSE

General Provider Information

NPI Number : 1568430270
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BETH ANN DOYLE LPC
Provider Business Mailing Address
First Line : 1300 BOONE RD SE
Second Line :
City : SALEM
State : OR
Zip : 97306-1038
Country : US
Telephone Number : 503-391-1300
Fax Number :
Provider Business Practice Location Address
First Line : 1300 BOONE RD SE
Second Line :
City : SALEM
State : OR
Zip : 97306-1038
Country : US
Telephone Number : 503-391-1300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2006
Last Update Date : 07/08/2007

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Directions to “ MS. BETH ANN DOYLE LPC” Practice Location

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