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NPI Code Detail

MEDICARE: VALERIE SILLIMAN MSW, QMHP

MEDICARE: VALERIE SILLIMAN MSW, QMHP
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1568796126
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIE SILLIMAN MSW, QMHP
Provider Business Mailing Address
First Line : 33 NW BROADWAY
Second Line :
City : PORTLAND
State : OR
Zip : 97209-3580
Country : US
Telephone Number : 971-271-6285
Fax Number :
Provider Business Practice Location Address
First Line : 33 NW BROADWAY
Second Line :
City : PORTLAND
State : OR
Zip : 97209-3580
Country : US
Telephone Number : 971-271-6285
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2009
Last Update Date : 08/06/2012

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