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General NPI Number Information
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NPI Number | 1043093206
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Entity Type | Individual
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Provider Name | MEGAN NICOLE AYERS FNP
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Gender | Female
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 1500 DIVISION ST STE 220
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City | OREGON CITY
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State | OR
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Zip | 97045-1527
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Country | US
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Telephone | 503-513-1900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3158
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City | PORTLAND
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State | OR
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Zip | 97208-3158
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Country | US
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Telephone | 503-215-6494
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 100500109
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10011563
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License Number State | OR
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