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General NPI Number Information
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NPI Number | 1073209144
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Entity Type | Individual
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Provider Name | JENNIFER HELEN BARNES PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/12/2023
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 16100 NW CORNELL RD STE 220
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City | BEAVERTON
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State | OR
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Zip | 97006-7334
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Country | US
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Telephone | 503-878-8885
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Fax | 971-297-1360
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Provider Business Mailing Address
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Address Line | 65 SW YAMHILL ST STE 300
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City | PORTLAND
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State | OR
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Zip | 97204-3316
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Country | US
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Telephone | 503-878-8885
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10006490
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 099000617RN
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | L-14236
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License Number State | OR
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