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General NPI Number Information
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NPI Number | 1043158181
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Entity Type | Organization
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Legal Business Name | HEART WISDOM HEALING ARTS
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 3125 NE HOLLADAY ST # B1
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City | PORTLAND
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State | OR
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Zip | 97232-2504
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Country | US
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Telephone | 503-217-4457
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Fax | 503-662-6420
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Provider Business Mailing Address
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Address Line | 3125 NE HOLLADAY ST # B1
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City | PORTLAND
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State | OR
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Zip | 97232-2504
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Country | US
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Telephone | 503-217-4457
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Fax | 503-662-6420
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Authorized Official
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Title or Position | DOCTOR OF CHINESE MEDICINE
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Name | DR. TRISHA PARKS
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Credential | DSOM LAC, MSCN, MSCG
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Telephone | 971-404-8166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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