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General NPI Number Information
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NPI Number | 1023527066
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Entity Type | Individual
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Provider Name | KRISTEN FINCHAM PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/21/2017
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Last Update Date | 05/07/2018
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Provider Practice Location Address
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Address Line | 4246 NE SANDY BLVD
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City | PORTLAND
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State | OR
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Zip | 97213-1432
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Country | US
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Telephone | 503-287-1163
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Fax |
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Provider Business Mailing Address
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Address Line | 3720 SW BOND AVE UNIT 326
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City | PORTLAND
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State | OR
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Zip | 97239-4572
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Country | US
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Telephone |
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH0016124
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RPH0016124
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License Number State | OR
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