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General NPI Number Information
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NPI Number | 1013248780
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Entity Type | Individual
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Provider Name | GRANT P MORLOCK D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/20/2010
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Last Update Date | 09/04/2015
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Provider Practice Location Address
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Address Line | 4847 MEADOWS RD 153
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-2626
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Country | US
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Telephone | 971-330-8578
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Fax |
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Provider Business Mailing Address
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Address Line | 818NWMARSHALL ST
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City | PORTLAND
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State | OR
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Zip | 97209-3295
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Country | US
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Telephone | 503-719-5335
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Fax | 503-719-5334
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH60133585
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4078
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License Number State | OR
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