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General NPI Number Information
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NPI Number | 1083703581
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Entity Type | Individual
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Provider Name | CHRISTINA MARIE CAMELI LMT
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 1411 NE BROADWAY ST
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City | PORTLAND
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State | OR
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Zip | 97232-1485
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Country | US
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Telephone | 503-334-9898
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Fax |
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Provider Business Mailing Address
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Address Line | 1430 SW BORLAND RD
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City | WEST LINN
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State | OR
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Zip | 97068-9123
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Country | US
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Telephone | 503-334-9898
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 11224
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License Number State | OR
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