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General NPI Number Information
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NPI Number | 1023920923
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Entity Type | Individual
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Provider Name | JAZMIN RICHTER OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 1336 NW FLANDERS ST STE 100
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City | PORTLAND
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State | OR
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Zip | 97209-2645
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Country | US
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Telephone | 503-882-0988
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Fax |
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Provider Business Mailing Address
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Address Line | 133 SE 73RD AVE
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City | PORTLAND
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State | OR
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Zip | 97215-1438
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Country | US
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Telephone | 213-278-6086
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 526133
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License Number State | OR
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