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1114045457 NPI number — ROBERT DEAN SCHOUTEN SR. O D

NPI Number: 1114045457
Health Care Provider/Practitioner: ROBERT DEAN SCHOUTEN SR. O D

Information about “1114045457” NPI (ROBERT DEAN SCHOUTEN SR. O D) exists in 1114045457 in HTML format HTML  |  1114045457 in plain Text format TXT  |  1114045457 in PDF (Portable Document Format) PDF  |  1114045457 in an XML format XML  formats.

NPI Number : 1114045457 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114045457",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHOUTEN",
    "FirstName": "ROBERT",
    "MiddleName": "DEAN",
    "NamePrefix": "DR.",
    "NameSuffix": "SR.",
    "Credential": "O D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SCHOUTEN",
    "OtherFirstName": "ROBERT",
    "OtherMiddleName": "DEAN",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": "SR.",
    "OtherCredential": "O D",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "9931 SE EASTMONT DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GRESHAM",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97080-8608",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "503-663-2646",
    "MailingAddressFaxNumber": "503-663-0423",
    "FirstLinePracticeLocationAddress": "1839 MOLALLA AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OREGON CITY",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97045-4071",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "503-656-2453",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/26/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "152WX0102X",
        "TaxonomyName": "Occupational Vision Optometrist",
        "LicenseNumber": "983 T",
        "LicenseNumberStateCode": "OR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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