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General NPI Number Information
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NPI Number | 1083829089
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Entity Type | Individual
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Provider Name | DONALD DREESE CST-CFA
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Gender | Male
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Dates
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Enumeration Date | 05/12/2007
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Last Update Date | 01/01/2025
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Provider Practice Location Address
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Address Line | 3471 7TH ST
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City | HUBBARD
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State | OR
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Zip | 97032-9621
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Country | US
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Telephone | 503-318-1862
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Fax | 503-207-5370
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Provider Business Mailing Address
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Address Line | PO BOX 327
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City | HUBBARD
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State | OR
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Zip | 97032-0327
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Country | US
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Telephone | 503-318-1862
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Fax | 503-207-5370
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 102653
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 20064
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License Number State | OR
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