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General NPI Number Information
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NPI Number | 1093518060
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Entity Type | Organization
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Legal Business Name | NW SPINE & HEALTH
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 12930 SE 162ND AVE STE 110
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City | HAPPY VALLEY
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State | OR
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Zip | 97086-4743
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Country | US
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Telephone | 503-329-0855
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Fax |
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Provider Business Mailing Address
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Address Line | 13448 SE AUTUMNWOOD LN
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City | HAPPY VALLEY
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State | OR
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Zip | 97086-4284
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Country | US
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Telephone | 503-329-0855
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN AND OWNER
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Name | ERICA H SCHOEPP
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Credential | DC
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Telephone | 503-329-0855
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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