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General NPI Number Information
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NPI Number | 1043031859
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Entity Type | Organization
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Legal Business Name | CASCADE AIDS PROJECT
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 101 E 33RD ST STE 201A
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City | VANCOUVER
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State | WA
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Zip | 98663-2201
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Country | US
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Telephone | 360-986-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 520 NW DAVIS ST STE 215
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City | PORTLAND
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State | OR
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Zip | 97209-3620
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Country | US
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Telephone | 503-223-5907
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Fax |
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Authorized Official
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Title or Position | SNR DIR COMPLIANCE & RISK MANAGEMEN
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Name | JESSICA LORAINE COLE
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Credential |
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Telephone | 503-278-3813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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