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General NPI Number Information
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NPI Number | 1003823790
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Entity Type | Individual
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Provider Name | MARY JUREE ANDERSON RN
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Gender | Female
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 12/14/2025
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Provider Practice Location Address
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Address Line | 530 SUNSET
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City | LAKEVIEW
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State | OR
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Zip | 97630-0032
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Country | US
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Telephone | 541-947-0989
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Fax | 541-947-2705
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Provider Business Mailing Address
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Address Line | PO BOX 830
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City | LAKEVIEW
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State | OR
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Zip | 97630-0032
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Country | US
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Telephone | 541-947-3541
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Fax | 541-947-3546
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State | OR
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