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NPI Code Detail

MEDICARE: NIRMALA DHAR LCSW

MEDICARE: NIRMALA DHAR LCSW
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
11041C0700XClinical Social WorkerL1818OR

General Provider Information

NPI Number : 1629095542
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIRMALA DHAR LCSW
Provider Business Mailing Address
First Line : 998 LIBRARY CT
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-4041
Country : US
Telephone Number : 503-557-6444
Fax Number : 503-655-8429
Provider Business Practice Location Address
First Line : 998 LIBRARY CT
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-4041
Country : US
Telephone Number : 503-655-8264
Fax Number : 503-655-8264
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2006
Last Update Date : 11/20/2013

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Directions to “ NIRMALA DHAR LCSW” Practice Location

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