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General NPI Number Information
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NPI Number | 1033044599
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Entity Type | Individual
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Provider Name | CHRISTIAN COONTZ OD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2026
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Last Update Date | 06/16/2026
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Provider Practice Location Address
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Address Line | 2318 E PORTLAND RD STE 300
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City | NEWBERG
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State | OR
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Zip | 97132-1374
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Country | US
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Telephone | 503-538-1341
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Fax | 503-538-1343
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Provider Business Mailing Address
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Address Line | 2318 E PORTLAND RD STE 300
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City | NEWBERG
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State | OR
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Zip | 97132-1374
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Country | US
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Telephone | 503-538-1341
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Fax | 503-538-1343
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4837
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License Number State | OR
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