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General NPI Number Information
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NPI Number | 1083206155
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Entity Type | Organization
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Legal Business Name | GO TO ORTHO LLC
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Dates
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Enumeration Date | 02/09/2021
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Last Update Date | 06/16/2021
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Provider Practice Location Address
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Address Line | 2695 SW CEDAR HILLS BLVD STE 140
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City | BEAVERTON
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State | OR
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Zip | 97005-1415
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Country | US
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Telephone | 503-850-9950
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Fax | 877-533-6717
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Provider Business Mailing Address
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Address Line | 2695 SW CEDAR HILLS BLVD # G140
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City | BEAVERTON
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State | OR
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Zip | 97005-1392
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Country | US
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Telephone | 503-850-9950
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Fax |
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Authorized Official
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Title or Position | SITE DIRECTOR
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Name | CRISTAL LOZANO
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Credential |
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Telephone | 503-850-9950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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