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General NPI Number Information
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NPI Number | 1043980675
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Entity Type | Individual
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Provider Name | REBECCA STURMAN
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Gender | Female
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Dates
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Enumeration Date | 09/15/2021
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 609 NE BAKER ST
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City | MCMINNVILLE
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State | OR
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Zip | 97128-4946
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Country | US
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Telephone | 503-435-4840
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Fax |
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Provider Business Mailing Address
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Address Line | 3415 SE POWELL BLVD
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City | PORTLAND
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State | OR
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Zip | 97202-3371
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Country | US
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Telephone | 503-234-9591
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | A13482
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License Number State |
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