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General NPI Number Information
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NPI Number | 1104028323
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Entity Type | Organization
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Legal Business Name | NATURAL FAMILY MEDICINE OF CASCADE PARK, PC
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 222 NE PARK PLAZA DR STE 111
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City | VANCOUVER
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State | WA
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Zip | 98684-5896
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Country | US
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Telephone | 360-882-1339
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Fax | 360-253-8006
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Provider Business Mailing Address
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Address Line | 222 NE PARK PLAZA DR STE 111
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City | VANCOUVER
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State | WA
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Zip | 98684-5896
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Country | US
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Telephone | 360-882-1339
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Fax | 360-253-8006
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LORI BROWN
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Credential | N.D.
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Telephone | 360-882-1339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT00001077
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License Number State | WA
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